Individual provider Active NPI

Edward Steven Rosenthal, MD

  • Internal Medicine Physician
  • Garfield Heights, OH
National Provider Identifier
1063406197
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-053841 Issued in OH
Practice address
12000 McCracken Rd
#453
Garfield Heights, OH 44125-2933
Phone
(216) 581-4900
Fax
(216) 581-7370
NPI assigned
Sep 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-053841 OH Primary

Addresses

Primary practice location

12000 McCracken Rd
#453
Garfield Heights, OH 44125-2933

Mailing address

12000 McCracken Rd
#453
Garfield Heights, OH 44125-2933
Phone (216) 581-4900

Other identifiers 7

IdentifierTypeStateIssuer
357410002OtherOHCARESOURCE
000000189978OtherOHUNICARE
000000189978OtherOHANTHEM BLUE SHIELD
533832OtherOHADVANTRA FREEDOM
0700487MedicaidOH
4041169OtherOHAETNA
T53841OtherOHSUMMACARE HEALTH PLAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061213000371 OH Practitioner - Internal Medicine 6406855832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

12000 McCracken Rd
Garfield Heights, OH 44125-2933

12000 McCracken Rd
Garfield Heights, OH 44125-2964
Phone (216) 444-2200

6770 Mayfield Rd
Cleveland, OH 44124-2299
Phone (440) 461-6430

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

  • Residence Home Care LLC Home health agency, North Olmsted, OH, CCN 369153
  • Cleveland Clinic Home Care Home health agency, Independence, OH, CCN 367142
  • Elara Caring Home health agency, Mentor, OH, CCN 367173
  • Bayada Home Health Care, Inc Home health agency, Cuyahoga Falls, OH, CCN 367549
  • Eliza Jennings at Home Home health agency, Olmsted Township, OH, CCN 368264
  • Marymount Hospital Hospital, Garfield Heights, OH, CCN 360143
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • South Pointe Hospital Hospital, Warrensville Heights, OH, CCN 360144
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-053841OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Aug 10, 2016 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Marymount Primary Care Services Inc Past Accepting new patients

Locations

36901 American Way
Avon, OH 44011
Phone (440) 930-6200

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

12000 McCracken Rd
Ste 453
Garfield Hts, OH 44125
Phone (216) 581-4900

12300 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 581-0500

850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737

Interoperability endpoints

  • Direct secure messaging: erosenthal5965@direct.ccf.org

Organizations & group practices 3

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1063406197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN RD",
            "address_2": "#453",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252933",
            "telephone_number": "216-581-4900",
            "fax_number": "216-581-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN RD",
            "address_2": "#453",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252933",
            "telephone_number": "216-581-4900",
            "fax_number": "216-581-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "EDWARD",
        "middle_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-05",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-053841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "357410002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "000000189978",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "000000189978",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA FREEDOM",
            "identifier": "533832",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0700487",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4041169",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMACARE HEALTH PLAN",
            "identifier": "T53841",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

Verify at the official NPI Registry.