PROMEDICA GENITO-URINARY SURGEONS LLC
NPI 1366795221
Urology in Toledo, OH

Q: What is Promedica Genito-Urinary Surgeons LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since October 17, 2012

2120 W CENTRAL AVE, TOLEDO, OH 43606(419) 531-8558(419) 531-8798 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2023, Oct 4, 2023, Feb 5, 2021 and 1 more (4 updates tracked since 2018).

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About Promedica Genito-urinary Surgeons Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROMEDICA GENITO-URINARY SURGEONS LLC (NPI 1366795221) is a healthcare organization registered as an urology in Toledo, Ohio and active in the NPI registry since October 2012. The organization lists Kristin Knueven, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1366795221

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NamePROMEDICA GENITO-URINARY SURGEONS LLC

Location Address2120 W CENTRAL AVEToledo, OH 43606-3834

Mailing Address100 Madison Ave, Msc-s38805Toledo, OH 43604 · (844) 373-0871 · Fax (419) 885-3921

Phone(419) 531-8558

Fax(419) 531-8798

Organization SubpartNo

Authorized OfficialKristin KnuevenSupervisor · (567) 585-1969

Enumeration DateOctober 17, 2012

Last NPPES UpdateOctober 12, 20234 updates tracked since enumeration

NPPES CertifiedOctober 12, 2023

✔ NPI 1366795221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X

2120 W CENTRAL AVE, Toledo, OH 43606

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Other Identifiers 1

Medicaid0076667OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Promedica Genito-urinary Surgeons Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 19 clinicians reassign Medicare billing to Promedica Genito-Urinary Surgeons LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Urology14

Nurse Practitioner3

Certified Registered Nurse Anesthetist (CRNA)1

Pediatric Medicine1