JONATHAN HENRY DESIMONE – Emergency Medicine Physician, NPI 1770283590

JONATHAN HENRY DESIMONE is a healthcare provider. based in Toledo, Ohio. specializing in EMERGENCY MEDICINE. They hold a License No. 34.017401 (OH). The NPI Number for JONATHAN HENRY DESIMONE is 1770283590

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN HENRY DESIMONE
NPI
1770283590
Phone
(480) 636-0087
Address
2213 Cherry St
Enumeration Date
9 March 2023
Last Update Date
16 July 2025

Doctor Profile

Medical School Name
ALABAMA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4195577455
Graduation Year
2023 (3 years ago)
PAC ID
3577922657
Group Practice PAC ID
1658318977
Professional Enrollment ID
I20250725000102
Address ID
OH448703323SA1111XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for JONATHAN HENRY DESIMONE

  • 2213 Cherry St

    Toledo, OH 436082603

    Phone: (480) 636-0087

    Type: Location

  • 1111 HAYES AVENUE

    SANDUSKY, OH 448703323

    Phone: (419) 557-7455

    Fax: (419) 557-7782

    Type: Mailing

  • 1111 HAYES AVE

    SANDUSKY, OH 448703323

    Phone: (419) 557-7455

    Fax: (419) 557-7782

    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: 2025-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250725000102IEmergency MedicineOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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 43608)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658318977View full group profile
NameSpecialtyState
Nurse PractitionerOH
Emergency MedicineOH
Emergency MedicineOH
-OH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
-OH

Reviews

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Frequently asked questions

Does JONATHAN HENRY DESIMONE share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JONATHAN HENRY DESIMONE uses 1770283590.
Does the file indicate JONATHAN HENRY DESIMONE is practicing under active NPI?
Directory data currently reports JONATHAN HENRY DESIMONE as active.
What is JONATHAN HENRY DESIMONE's specialty?
The listing groups JONATHAN HENRY DESIMONE with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JONATHAN HENRY DESIMONE based?
JONATHAN HENRY DESIMONE is tied to Toledo, Ohio in the data we show; additional addresses may exist on the full record.
Is the information about JONATHAN HENRY DESIMONE up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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