NPIMap

Individual provider Active NPI

Vincent Dalessandro, DO

  • Internal Medicine Physician
  • Chesterland, OH
National Provider Identifier
1023000221
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34006363 Issued in OH
Practice address
8254 Mayfield Rd
Suite 4
Chesterland, OH 44026-2593
Phone
(440) 729-9000
Fax
(440) 729-0519
NPI assigned
Aug 16, 2005
Last updated
Jun 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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 34006363 OH Primary

Addresses

Primary practice location

8254 Mayfield Rd
Suite 4
Chesterland, OH 44026-2593

Mailing address

8254 Mayfield Rd
Chesterland, OH 44026-2593
Phone (440) 729-9000

Other identifiers 2

IdentifierTypeStateIssuer
0253863MedicaidOH
000000028583OtherOHANTHEM

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
I20110125000721 OH Practitioner - Internal Medicine 2961681804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

8254 Mayfield Rd
Chesterland, OH 44026-2562

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006363OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Oct 21, 2014 Accepting new patients

Locations

36901 American Way
Avon, OH 44011
Phone (440) 333-5460

8254 Mayfield Rd
Chesterland, OH 44026
Phone (440) 729-0100

8254 Mayfield Rd
Ste 4
Chesterland, OH 44026
Phone (440) 729-0100

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737

Interoperability endpoints

  • Direct secure messaging: vdalessandro32267@direct.ccf.org

Organizations & group practices 2

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.

Hospital & facility affiliations 10

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1023000221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8254 MAYFIELD RD",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262593",
            "telephone_number": "440-729-9000",
            "fax_number": "440-729-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8254 MAYFIELD RD",
            "address_2": "SUITE 4",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262593",
            "telephone_number": "440-729-9000",
            "fax_number": "440-729-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALESSANDRO",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34006363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0253863",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000028583",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterland, OH

Sources for this page

Verify at the official NPI Registry.