DR. KEVIN JUDE ROURK DDS
NPI 1992995690
Dentist - General Practice in Toledo, OH

Q: What is Kevin Rourk's NPI number?

The NPI number for Kevin Rourk is 1992995690. It was assigned to this individual provider in the NPPES registry on July 28, 2007.

Q: What is Kevin Rourk's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Rourk was last updated on April 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since July 28, 2007PECOS Enrolled

1200 S DETROIT AVE, TOLEDO VA CBOC, TOLEDO, OH 43614(419) 351-5583 Get Directions Write a Review

NPPES record last updated: April 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kevin Jude Rourk Dds NPPES

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

DR. KEVIN JUDE ROURK DDS (NPI 1992995690) is an individual general practice provider in Toledo, Ohio, licensed in Michigan (15647) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992995690

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KEVIN JUDE ROURKCredential: DDS

Location Address1200 S DETROIT AVE, TOLEDO VA CBOCToledo, OH 43614-5903

Mailing Address1200 S Detroit AveToledo, OH 43614-5903 · (419) 351-5583

Phone(419) 351-5583

Sole ProprietorNo

Enumeration DateJuly 28, 2007

Last NPPES UpdateApril 9, 2016

✔ NPI 1992995690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 15647

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1200 S DETROIT AVE, Toledo, OH 43614

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Jude Rourk Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43614 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

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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.

SHERRIE L BANAS LPN

Licensed Practical Nurse