Individual provider Active NPI

Olsi Karoqja, APRN

  • Family Medicine Physician
  • Medina, OH
National Provider Identifier
1043891278
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN.CNP.0028430 Issued in OH
Practice address
784 Medina Rd Ste 107
Medina, OH 44256-9634
Phone
(330) 591-9635
NPI assigned
Apr 19, 2021
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN.CNP.0028430 OH Primary

Addresses

Primary practice location

784 Medina Rd Ste 107
Medina, OH 44256-9634

Mailing address

784 Medina Rd Ste 107
Medina, OH 44256-9634
Phone (330) 591-9635

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210603003216 OH Practitioner - Nurse Practitioner 4082013495 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prestige Wound Solutions, LLCGroup PAC ID 5597244194, 7 clinicians
Prestige Foot and Ankle Center LLCGroup PAC ID 5698921229, 9 clinicians

Practice addresses (Care Compare)

784 Medina Rd
Suite 104
Medina, OH 44256-9634
Phone (330) 661-4008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0028430OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince Jun 21, 2021 Accepting new patients
Fairview Hospital Current Accepting new patients
Prestige Foot & Ankle Center LLC CurrentSince Mar 10, 2025 Accepting new patients
Prestige Wound Solutions, LLC CurrentSince Jan 1, 2026 Accepting new patients
David Perse MD, LLC CurrentSince Jul 30, 2022 Accepting new patients

Locations

10654 Lorain Ave
Cleveland, OH 44111
Phone (216) 941-1044

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

2401 Scranton Rd
Cleveland, OH 44113
Phone (216) 284-3077

535 E Smith Rd
Medina, OH 44256
Phone (330) 591-9635

784 Medina Rd
Ste 104
Medina, OH 44256
Phone (330) 661-4008

784 Medina Rd
Ste 107
Medina, OH 44256
Phone (330) 591-9635

30701 Lorain Rd
Ste A
North Olmsted, OH 44070

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1043891278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 MEDINA RD STE 107",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569634",
            "telephone_number": "330-591-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 MEDINA RD STE 107",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569634",
            "telephone_number": "330-591-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAROQJA",
        "first_name": "OLSI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "APRN.CNP.0028430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.