Individual provider Active NPI

Vijay G Mistry, M.D.

  • Cardiovascular Disease Physician
  • Mayfield HTS, OH
National Provider Identifier
1003893595
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35-042001 Issued in OH
Practice address
6770 Mayfield Rd # 425
Mayfield HTS, OH 44124-2299
Phone
(440) 442-2040
Fax
(440) 460-2807
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35-042001 OH Primary

Addresses

Primary practice location

6770 Mayfield Rd # 425
Mayfield HTS, OH 44124-2299

Mailing address

6770 Mayfield Rd # 425
Mayfield HTS, OH 44124-2299
Phone (440) 442-2040

Other identifiers 2

IdentifierTypeStateIssuer
0432928MedicaidOH
0711064OtherOHMEDICARE ID - TYPE UNSPECIFIED

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
I20040504000855 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2163410515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Medical Group IncGroup PAC ID 2365429164, 3 clinicians

Practice addresses (Care Compare)

18901 Lake Shore Blvd
Euclid, OH 44119-1078
Phone (216) 692-8267

4110 Warrensville Ctr Rd
S Pointe Hospital
Warrensville HTS, OH 44122-7024
Phone (216) 491-6000

6770 Mayfield Rd
Mayfield Heights, OH 44124-2299
Phone (440) 442-2040

Hospital & facility affiliations

  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Euclid Hospital Hospital, Euclid, OH, CCN 360082
  • South Pointe Hospital Hospital, Warrensville Heights, OH, CCN 360144
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Marymount Hospital Hospital, Garfield Heights, OH, CCN 360143

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-042001OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Medical Group Inc. Cardiovascular Disease CurrentSince May 17, 1993 Accepting new patients
Vijay G Mistry MD LLC Cardiovascular Disease CurrentSince Dec 1, 2023 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Westshore Family Practice Inc Past Accepting new patients

Locations

2351 E 22nd St
#1240
Cleveland, OH 44115
Phone (216) 777-6300

12300 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 581-0500

12000 McCracken Rd
Ste 106
Garfield Hts, OH 44125
Phone (216) 332-9559

6770 Mayfield Rd
Ste 425
Mayfield Heights, OH 44124
Phone (216) 581-3686

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

6770 Mayfield Rd
#425
Mayfield Hts, OH 44124
Phone (440) 442-2040

Interoperability endpoints

  • Direct secure messaging: vmistry92223@direct.ccf.org

Organizations & group practices 4

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 5

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1003893595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 MAYFIELD RD # 425",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242299",
            "telephone_number": "440-442-2040",
            "fax_number": "440-460-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 MAYFIELD RD # 425",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242299",
            "telephone_number": "440-442-2040",
            "fax_number": "440-460-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "VIJAY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35-042001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0432928",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "0711064",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield HTS, OH

Sources for this page

Verify at the official NPI Registry.