Individual provider Active NPI

Michael N Abood, DC

  • Chiropractor
  • Twinsburg, OH
National Provider Identifier
1013509249
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
05063 Issued in OH
Practice address
9630 Ravenna Rd Ste 100
Twinsburg, OH 44087-6812
Phone
(330) 405-2751
NPI assigned
Feb 9, 2021
Last updated
Feb 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 05063 OH Primary

Addresses

Primary practice location

9630 Ravenna Rd Ste 100
Twinsburg, OH 44087-6812

Mailing address

38191 Strumbly PL
Willoughby, OH 44094-6591
Phone (440) 488-0589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210302002284 OH Practitioner - Chiropractic 8325454127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Chiropractic Center, IncGroup PAC ID 4284677618, 2 clinicians

Practice addresses (Care Compare)

9630 Ravenna Rd
Suite 100
Twinburg, OH 44087-6812
Phone (330) 405-2751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Center, Inc. Chiropractor CurrentSince Feb 9, 2021 Accepting new patients

Locations

9630 Ravenna Rd
Ste 100
Twinsburg, OH 44087
Phone (330) 405-2751

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1013509249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38191 STRUMBLY PL",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440946591",
            "telephone_number": "440-488-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 RAVENNA RD STE 100",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440876812",
            "telephone_number": "330-405-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOOD",
        "first_name": "MICHAEL",
        "middle_name": "N",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "05063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.