Individual provider Active NPI

Rocco Anthony Petrozzi Jr., D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Cleveland, OH
National Provider Identifier
1053362236
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003393 Issued in OH
Practice address
7000 Euclid Ave
Suite 101
Cleveland, OH 44103-4014
Phone
(216) 231-5612
Fax
(216) 721-5534
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003393 OH Primary

Addresses

Primary practice location

7000 Euclid Ave
Suite 101
Cleveland, OH 44103-4014

Mailing address

1636 N Shore Dr
Painesville, OH 44077-4679
Phone (440) 290-5327

Other identifiers 7

IdentifierTypeStateIssuer
358227OtherOHSTAYWELL/WELLCARE
000000564733OtherOHANTHEM BLUE CROSS BLUE SHIELD
000000564757OtherOHANTHEM BLUE CROSS BLUE SHIELD
2675930MedicaidOH
P00656043OtherOHRAIL ROAD MEDICARE CFAI
000000484990OtherANTHEM BCBS
7263866OtherAETNA-LIFE & CASUALTY CO.

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061025000195 OH Practitioner - Podiatry 1153328711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ksu Foot and Ankle ClinicGroup PAC ID 1254588684, 10 clinicians

Practice addresses (Care Compare)

6000 Rockside Woods Blvd
Independence, OH 44131-2330

6000 Rockside Woods Blvd N
Independence, OH 44131-2330
Phone (216) 520-1544

7000 Euclid Ave
Suite 101
Cleveland, OH 44103-4014
Phone (216) 231-5612

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue76
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.003393OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ksu Foot & Ankle Clinic Foot & Ankle Surgery CurrentSince Jul 1, 2012 Accepting new patients
Donahue Foot and Ankle Center Inc. Foot & Ankle Surgery Past Accepting new patients

Locations

7000 Euclid Ave
Ste 101
Cleveland, OH 44103
Phone (216) 231-5612

6000 Rockside Woods Blvd N
Independence, OH 44131
Phone (216) 231-5612

Interoperability endpoints

  • Direct secure messaging: rpetrozzi243013@ehrdirect.uhhospitals.org
  • Direct secure messaging: rocco.petrozzi.1@14723.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1053362236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 N SHORE DR",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440774679",
            "telephone_number": "440-290-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 EUCLID AVE",
            "address_2": "SUITE 101",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034014",
            "telephone_number": "216-231-5612",
            "fax_number": "216-721-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROZZI",
        "first_name": "ROCCO",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL/WELLCARE",
            "identifier": "358227",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "000000564733",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "000000564757",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2675930",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE CFAI",
            "identifier": "P00656043",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000484990",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-LIFE & CASUALTY CO.",
            "identifier": "7263866",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.