Individual provider Active NPI

Adina Kazan, MD

  • Ophthalmology Physician
  • Cleveland, OH
National Provider Identifier
1013617455
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
57.256395 Issued in OH
Practice address
Cleveland Clinic Main Campus
9500 Euclid Ave/JJ24
Cleveland, OH 44195-3829
Phone
(216) 444-2200
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 57.256395 OH Primary

Addresses

Primary practice location

Cleveland Clinic Main Campus
9500 Euclid Ave/JJ24
Cleveland, OH 44195-3829

Mailing address

1715 Falling Leaf LN
Northbrook, IL 60062-3829
Phone (847) 370-3284

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
I20240604003924 OH Order and Referring Only - OphthalmologyPractitioner - Ophthalmology 8729520838

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1013617455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 FALLING LEAF LN",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623829",
            "telephone_number": "847-370-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLEVELAND CLINIC MAIN CAMPUS",
            "address_2": "9500 EUCLID AVE/JJ24",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441953829",
            "telephone_number": "216-444-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZAN",
        "first_name": "ADINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "57.256395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.