DR. JOHNATHON RERUCHA MD, MPH
NPI 1639864283
Emergency Medicine in Toledo, OH

Active since April 10, 2023PECOS EnrolledAccepts Medicare Assignment
2142 N COVE BLVD, TOLEDO, OH 43606(419) 291-4101 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Johnathon Rerucha Md, Mph NPPES

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

DR. JOHNATHON RERUCHA MD, MPH (NPI 1639864283) is an individual emergency medicine provider in Toledo, Ohio, licensed in Ohio (35.154400) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1639864283
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOHNATHON RERUCHACredential: MD, MPH
Location Address2142 N COVE BLVDToledo, OH 43606-3895
Mailing Address5923 Renaissance PlToledo, OH 43623-4709
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 10, 2023
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
NPI 1639864283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in OH · 35.154400 Licensed in MI · 4301518283
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2142 N COVE BLVD, Toledo, OH 43606

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Johnathon Rerucha Md, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183106040
PECOS Enrollment IDI20260302000514
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
2142 N COVE BLVD, 5-NORTH PEDIATRICS
TOLEDO, OH 43606
Hospitalist
2142 N COVE BLVD
TOLEDO, OH 43606
Nurse Anesthetist, Certified Registered
2142 N COVE BLVD
TOLEDO, OH 43606
Emergency Medicine
2142 N COVE BLVD
TOLEDO, OH 43606
Pharmacy Technician
2142 N COVE BLVD
TOLEDO, OH 43606
Internal Medicine
2142 N COVE BLVD
TOLEDO, OH 43606
Nurse Practitioner
2142 N COVE BLVD
TOLEDO, OH 43606
Durable Medical Equipment & Medical Supplies
2142 N COVE BLVD, SUITE 100
TOLEDO, OH 43606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnathon Rerucha's NPI number?

The NPI number for Johnathon Rerucha is 1639864283. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Johnathon Rerucha located?

Johnathon Rerucha practices at 2142 N Cove Blvd, Toledo, OH 43606. The listed phone number is (419) 291-4101.

What is Johnathon Rerucha's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Johnathon Rerucha enrolled in Medicare?

Yes. Johnathon Rerucha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Johnathon Rerucha affiliated with any hospitals?

According to CMS data, Johnathon Rerucha is affiliated with Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Johnathon Rerucha was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.