Individual provider Active NPI

Ronald Golovan, M.D.

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1003815473
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-060871-G Issued in OH
Practice address
1730 W 25TH St Ste 2E
Cleveland, OH 44113-3108
Phone
(216) 696-2205
Fax
(216) 363-2058
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-060871-G OH Primary

Addresses

Primary practice location

1730 W 25TH St Ste 2E
Cleveland, OH 44113-3108

Mailing address

1730 W 25TH St Ste 2E
Cleveland, OH 44113-3108
Phone (216) 696-2205

Other identifiers 7

IdentifierTypeStateIssuer
F60871OtherOHSUMMACARE
341939294-00OtherOHWORKERS COMP
000000187185OtherOHANTHEM BC/BS
0402830OtherOHUNITED HEALTHCARE
341939294027OtherOHCARESOURCE
0858611MedicaidOH
54563OtherOHQUALCHOICE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071113000664 OH Practitioner - Internal Medicine 1052409737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wright State University Boonshoft School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1730 W 25TH St
Suite 2E
Cleveland, OH 44113-3108
Phone (216) 696-2205

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-060871-GOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald Golovan, M.D., Inc. Internal Medicine CurrentSince Nov 13, 2007 Accepting new patients

Locations

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

2709 Franklin Blvd
Fl 2
Cleveland, OH 44113
Phone (216) 696-2205

1730 W 25th St
Ste 2E
Cleveland, OH 44113
Phone (216) 227-2194

2709 Franklin Blvd
Ste 2E
Cleveland, OH 44113
Phone (216) 252-8700

Interoperability endpoints

  • Direct secure messaging: ronaldgolovanmd@direct.meditouchehr.com

Organizations & group practices 1

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1003815473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 W 25TH ST STE 2E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133108",
            "telephone_number": "216-696-2205",
            "fax_number": "216-363-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W 25TH ST STE 2E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133108",
            "telephone_number": "216-696-2205",
            "fax_number": "216-363-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLOVAN",
        "first_name": "RONALD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-060871-G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMACARE",
            "identifier": "F60871",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "341939294-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000187185",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0402830",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341939294027",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0858611",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "54563",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.