Michael J Mukavetz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50000453 Issued in OH

Practice address

20000 Harvard Ave
Warrensville Heights, OH 44122-6805

Phone

(216) 491-6000

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, 252 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.23 of 100Reported as group

Quality

59.13

Promoting interoperability

99

Improvement activities

40

Cost

75.81

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Northern Ohio Medical Specialists LLC

  • Internal Medicine Physician
  • Sandusky, OH
  • NPI 1225085855
  Medicare reassignment Care Compare group NPD
• Emergency Professional Services, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353
  Medicare reassignment
• Steward Emergency Physicians Ohio Inc

  • Emergency Medicine Physician
  • Warren, OH
  • NPI 1124501861
  Medicare reassignment
• Northern Ohio Medical Specialists, LLC

  • Durable Medical Equipment & Medical Supplies
  • Lorain, OH
  • NPI 1952281511
  NPD
• Emergency Professionals of Ohio, Inc.

  • Nurse Practitioner
  • Athens, OH
  • NPI 1750313854

  Physician Assistant

  NPD (past)
• Northern Ohio Medical Specialists, LLC

  • Radiology Clinic/Center
  • Sheffield Village, OH
  • NPI 1508811332
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043265465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SUGARBUSH GLN",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440242802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20000 HARVARD AVE",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441226805",
            "telephone_number": "216-491-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKAVETZ",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50000453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrida Mourzine
• Amanda Mowrer, FNP-C
• Nebojsa Mrkajic
• Dawn Mroz, CDCA
• MRP Solutions LTD
• Jamie Zoe Mulazim, M. ED.
• Deborah Mulquin-Peterson, NP
• Lauren Sarah Munoz Tremblay, DO
• Megan Murphy
• Ta'Shawnna Murray

• Physician Assistant in Warrensville Heights, OH
• Providers in Warrensville Heights, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.