Individual provider Active NPI

Renee Rouweyha, PAC

  • Medical Physician Assistant
  • Garfield Heights, OH
National Provider Identifier
1053440347
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50001440 Issued in OH
Practice address
5595 Transportation Blvd Ste 220
Garfield Heights, OH 44125-5359
Phone
(216) 587-5431
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50001440 OH Primary
Physician Assistant 363A00000X 50.001440RX OH
Physician Assistant 363A00000X PA9107184 FL
Surgical Physician Assistant 363AS0400X 50001440 OH

Addresses

Primary practice location

5595 Transportation Blvd Ste 220
Garfield Heights, OH 44125-5359

Mailing address

5595 Transportation Blvd Ste 220
Garfield Heights, OH 44125-5359
Phone (216) 587-5431

Other practice location 1

5700 Darrow Rd
Hudson, OH 44236-5026
Phone (330) 656-5911

Other practice location 2

9500 Euclid Ave
Cleveland, OH 44195-1006
Phone (216) 444-2200

Other practice location 3

5595 Transportation Blvd Ste 220
Garfield Heights, OH 44125-5359
Phone (216) 587-5431

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
I20040130000873 OH Practitioner - Physician Assistant 6406759950 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as group
Quality
97.69
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.13 of 100Reported as group
Quality
79.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9107184FLMDPhysician Assistant
50.001440RXOHMDPhysician Assistant
50001440OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Oliver Emergency Group, LLC Physician Assistant CurrentSince Jun 28, 2022 Accepting new patients
Lake Oliver Emergency Group, LLC Physician Assistant CurrentSince Jun 28, 2022 Accepting new patients
Emergency Services of Central Ohio LLC Past Accepting new patients
Falls Anesthesia Group Inc Past Accepting new patients
Emergency Associates of Eastern Ohio LLC Past Accepting new patients
Market Street Emergency Physicians LLC Physician Assistant Past Accepting new patients
Ohio Em-I Medical Services, Professional Association Physician Assistant Past Accepting new patients
Erie Banks Emergency Physicians LLC Physician Assistant Past Accepting new patients
Emergency Professionals of Ohio, Inc. Physician Assistant Past Accepting new patients

Locations

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1053440347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5595 TRANSPORTATION BLVD STE 220",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441255359",
            "telephone_number": "216-587-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5595 TRANSPORTATION BLVD STE 220",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441255359",
            "telephone_number": "216-587-5431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Darrow Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "OH",
            "postal_code": "442365026",
            "country_code": "US",
            "telephone_number": "330-656-5911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441951006",
            "country_code": "US",
            "telephone_number": "216-444-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5595 Transportation Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Garfield Heights",
            "state": "OH",
            "postal_code": "441255359",
            "country_code": "US",
            "telephone_number": "216-587-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUWEYHA",
        "first_name": "RENEE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50001440",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.001440RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107184",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50001440",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

Verify at the official NPI Registry.