NPIMap

Individual provider Active NPI

Michael A Pelini, MD

  • Clinical Cardiac Electrophysiology Physician
  • Akron, OH
National Provider Identifier
1003808080
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
35078429 Issued in OH
Practice address
95 Arch St
Ste 300
Akron, OH 44304-1473
Phone
(330) 376-7000
Fax
(330) 376-1066
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35078429P OH
Clinical Cardiac Electrophysiology Physician 207RC0001X 35078429 OH Primary

Addresses

Primary practice location

95 Arch St
Ste 300
Akron, OH 44304-1473

Mailing address

168 E Market St
PO Box 3542
Akron, OH 44308-2038
Phone (330) 376-7000

Other identifiers 2

IdentifierTypeStateIssuer
2203332MedicaidOH
4026496OtherOHMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031210000748 OH Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 3476459496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Northeastern Ohio University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

155 5TH St NE
Barberton, OH 44203-3332

1835 Franks Pkwy
Green, OH 44685-6249
Phone (330) 319-9700

3780 Medina Rd
Medina, OH 44256-9311
Phone (330) 375-6590

4211 State Route 44
Rootstown, OH 44272-9733

525 E Market St
Akron, OH 44304-1619

75 Arch St
Akron, OH 44304-1433

95 Arch St
Akron, OH 44304-1437
Phone (330) 375-3039

95 Arch St
Suite 215
Akron, OH 44304-1467
Phone (330) 434-4145

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35078429POHMDCardiovascular Disease Physician
35078429OHMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC CurrentSince May 1, 2008 Accepting new patients
Northeast Ohio Cardiovascular Specialists Inc. Cardiovascular Disease Past Accepting new patients
Summa Physicians LLC Past Accepting new patients
Cardiac Evaluation Services Inc PastSince Jan 27, 2004 Accepting new patients
The Heart Group, Inc. Cardiovascular Disease Past Accepting new patients
Summa Health System Past Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

Interoperability endpoints

  • Direct secure messaging: mpelini28519@summahealth-direct.org
  • Direct secure messaging: michael.pelini.1@17377.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/8a12d269-bbac-4647-8604-a4aa813b261a/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1003808080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 E MARKET ST",
            "address_2": "PO BOX 3542",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443082038",
            "telephone_number": "330-376-7000",
            "fax_number": "330-376-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ARCH ST",
            "address_2": "STE 300",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041473",
            "telephone_number": "330-376-7000",
            "fax_number": "330-376-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELINI",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35078429P",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OH",
            "license": "35078429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203332",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "4026496",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.