DR. ALLISON LUCILLE DOLLMAN KOUBA (M.D.) – Family Medicine Physician, NPI 1316065998
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ALLISON LUCILLE DOLLMAN KOUBA (M.D.)
1090 N Shoop Ave
Wauseon, OH 435671821
Phone: (419) 330-5200
Type: Location
341 Trenton Ave
Findlay, OH 458403745
Phone: (567) 250-8212
Type: Location
2702 NAVARRE AVE STE 302
OREGON, OH 436163224
Phone: (419) 724-5820
Type: Location
4235 SECOR RD
TOLEDO, OH 436234299
Phone:
Type: Mailing
7301 SECOR RD
LAMBERTVILLE, MI 481449737
Phone: (419) 479-5795
Type: Location
417 4th St
Defiance, OH 435122605
Phone: (419) 785-4660
Type: Location
1070 N Shoop Ave
Wauseon, OH 435671821
Phone: (419) 330-5200
Type: Location
106 S Lafayette St
South Lyon, MI 481781404
Phone: (947) 348-1176
Type: Location
1100 W Main St
Woodville, OH 434699723
Phone: (419) 724-5820
Type: Location
1136 Country Club Rd Unit C
Adrian, MI 492218209
Phone: (517) 366-5110
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-02-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091020000384 | I | Family Practice | OH | TBD |
| I20220202001296 | I | Family Practice | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43567)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | OH | |
| U R O L O G Y | OH | |
| Pulmonary Disease, Critical Care (Intensivists) | OH | |
| H E M A T O L O G Y/ O N C O L O G Y | OH | |
| G A S T R O E N T E R O L O G Y | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Orthopedic Surgery | OH |
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