Active NPI
Max N Wiznitzer, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 35-043073
- Practice address
- 11100 Euclid Ave
Cleveland, OH 44106-1716 - Phone
- (216) 844-7700
- Fax
- (216) 286-6341
- NPI assigned
- Jul 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 35-043073 | OH | Primary |
Addresses
Primary practice location
11100 Euclid Ave
Cleveland, OH 44106-1716
Mailing address
3605 Warrensville Center Rd
Shaker HTS, OH 44122-5203
Phone (216) 286-6295
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000526174 | Other | OH | ANTHEM |
| 0013055270003 | Medicaid | PA | |
| 000000028264 | Other | OH | ANTHEM |
| P00445001 | Other | OH | RAILROAD MEDICARE |
| 0631598 | Other | OH | BCMH |
| 0631598 | Medicaid | OH | |
| 731878 | Other | OH | BUCKEYE |
| 000000221332 | Other | OH | UNISON |
| 0640754 | Other | OH | AETNA |
| 1033136015 | Medicaid | MI | |
| 364144 | Other | OH | WELLCARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050524000375 | OH | Practitioner - Pediatric Medicine | 4587606231 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Northwestern University Feinberg Medical School, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
13207 Ravenna Rd
Chardon, OH 44024-7032
Phone (440) 285-6000
29000 Ctr Ridge Rd
Westlake, OH 44145-5293
Phone (440) 835-8000
36000 Euclid Ave
Willoughby, OH 44094-4625
Phone (216) 844-3800
3999 Richmond Rd
Beachwood, OH 44122-6046
Phone (216) 593-5500
5850 Landerbrook Dr
Mayfield HTS, OH 44124-6531
Phone (440) 720-3250
960 Clague Rd
Suite 2420
Westlake, OH 44145-1582
Phone (216) 844-5661
Hospital & facility affiliations
- University Hospitals Ahuja Medical Center
- Rainbow Babies and Childrens Hospital
- Uh Cleveland Medical Center
- Lake Health
- Uh St John Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.19 of 100
- Quality
- 63.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-043073 | OH | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| University Hospitals Cleveland Medical Center | Past | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
11100 Euclid Ave
Cleveland Heights, OH 44106
5850 Landerbrook Dr
Mayfield Hts, OH 44124
Phone (216) 844-3936
4001 Carrick Dr
Medina, OH 44256
Phone (300) 721-8511
2520 Columbus Ave
Ste H
Sandusky, OH 44870
3605 Warrensville Center Rd
Shaker Heights, OH 44122
960 Clague Rd
Westlake, OH 44145
Phone (440) 250-2001
29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046
Interoperability endpoints
- mwiznitzer36410@ehrdirect.uhhospitals.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
OH
-
- Children's Hospital
- Cleveland, OH
- NPI 1518042175
-
- Nurse Practitioner
- Tacoma, WA
- NPI 1407808413
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beachwood, OH
- NPI 1609189604
Hospital
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
Hospital
-
- Psychiatric Hospital Unit
- Cleveland, OH
- NPI 1053944967
Hospital
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
- Children's Hospital
- Cleveland, OH
- NPI 1518042175
Hospital
-
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
-
- General Acute Care Hospital
- Westlake, OH
- NPI 1841264868
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1033136015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 WARRENSVILLE CENTER RD",
"city": "SHAKER HTS",
"state": "OH",
"postal_code": "441225203",
"telephone_number": "216-286-6295",
"fax_number": "216-286-6341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061716",
"telephone_number": "216-844-7700",
"fax_number": "216-286-6341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIZNITZER",
"first_name": "MAX",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "OH",
"license": "35-043073",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000526174",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0013055270003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000028264",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00445001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCMH",
"identifier": "0631598",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0631598",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE",
"identifier": "731878",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000221332",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0640754",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033136015",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "364144",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.