Active NPI
Lynette M Cugino, MD
- Internal Medicine Physician
- North Canton, OH
National Provider Identifier
1043287501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35069454
- Practice address
- 6046 Whipple Ave NW
North Canton, OH 44720-7616 - Phone
- (330) 433-1200
- Fax
- (330) 433-1666
- NPI assigned
- Mar 3, 2006
- Last updated
- Apr 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036098928 | IL | |
| Internal Medicine Physician | 207R00000X | 35069454 | OH | Primary |
Addresses
Primary practice location
6046 Whipple Ave NW
North Canton, OH 44720-7616
Mailing address
5071 Paddington Down Rd NW
Canton, OH 44718-1578
Phone (330) 418-3868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2337117 | Medicaid | OH |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Northeastern Ohio University College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6046 Whipple Ave NW
North Canton, OH 44720-7616
Phone (330) 433-1200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35069454 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Canton Medical Foundation | Past | Accepting new patients | |
| Endeavor Health Medical Group | Past | Accepting new patients | |
| Endeavor Health Medical Group | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- lynette.cugino@direct.aultman.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- North Canton, OH
- NPI 1245257088
-
dba Child & Adolescent Psychiatry
- Addiction Medicine (Psychiatry & Neurology) Physician
- North Canton, OH
- NPI 1649383340
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Internal Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alliance, OH
- NPI 1942385794
-
- General Acute Care Hospital
- Canton, OH
- NPI 1356366991
-
dba Aultman Orrville Hospital
- Critical Access Hospital
- Orrville, OH
- NPI 1891718375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1043287501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5071 PADDINGTON DOWN RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447181578",
"telephone_number": "330-418-3868",
"fax_number": "330-433-1666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6046 WHIPPLE AVE NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447207616",
"telephone_number": "330-433-1200",
"fax_number": "330-433-1666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUGINO",
"first_name": "LYNETTE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036098928",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35069454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2337117",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.