ProMedica Physicians Podiatry – Durable Medical Equipment & Medical Supplies, NPI 1932595428

ProMedica Physicians Podiatry is a healthcare provider. based in Sylvania, Ohio. specializing in Durable Medical Equipment & Medical Supplies. The NPI Number for ProMedica Physicians Podiatry is 1932595428

Main info

Organization
Name
ProMedica Physicians Podiatry
NPI
1932595428
Phone
(419) 885-5563
Address
5300 HARROUN RD STE 201
Authorized Official
LORRAINE MCCUNE CREDENTIALING SPECIALIST
Enumeration Date
10 April 2015
Last Update Date
15 July 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness80
Years active:11State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for ProMedica Physicians Podiatry

  • 5300 HARROUN RD STE 201

    SYLVANIA, OH 435602146

    Phone: (419) 885-5563

    Fax: (419) 885-5439

    Type: Location

  • 1 SEAGATE # 800

    TOLEDO, OH 436041558

    Phone:

    Fax: (198) 247-3594

    Type: Mailing

  • 4888 WHITEFORD RD

    TOLEDO, OH 436232810

    Phone: (419) 885-5563

    Fax: (419) 885-5439

    Type: Location

  • 100 MADISON AVE # S38805

    TOLEDO, OH 436041516

    Phone:

    Type: Mailing

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: 2015-07-28

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
O20150728006407OPhysician - PodiatryOHTBD

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 43560)

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Reviews

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Frequently asked questions

What NPI should I save for ProMedica Physicians Podiatry?
Save NPI 1932595428 if you need a stable reference for ProMedica Physicians Podiatry.
Is ProMedica Physicians Podiatry's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ProMedica Physicians Podiatry work in?
You can think of ProMedica Physicians Podiatry as practicing within Durable Medical Equipment & Medical Supplies. Clinical services aligned with this taxonomy classification.
What location shows for ProMedica Physicians Podiatry?
We surface Sylvania, Ohio for ProMedica Physicians Podiatry based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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