Promedica Genito-Urinary Surgeons LLC
NPI 1366795221ActiveOrganization· Urology· Toledo, OH
Urology in Toledo, Ohio, registered in NPPES in October 2012. The authorized official on file is Kristin Knueven, Supervisor. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1366795221 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2012 |
| Last updated in NPPES | Oct 12, 2023 |
| Certified by provider | Oct 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | OH |
| Anesthesiology | 207L00000X | — | OH |
| Physician Assistant | 363A00000X | — | OH |
| Nurse Practitioner | 363L00000X | — | OH |
| Nurse Anesthetist, Certified Registered | 367500000X | — | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (OH) |
|---|
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