Individual provider Active NPI

Orest Stecyk, MD

  • Family Medicine Physician
  • Broadview HTS, OH
National Provider Identifier
1063453611
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-046642 Issued in OH
Practice address
303 E Royalton Rd # 101
Broadview HTS, OH 44147-2591
Phone
(440) 743-4740
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35046642S OH
Family Medicine Physician 207Q00000X 35-046642 OH Primary

Addresses

Primary practice location

303 E Royalton Rd # 101
Broadview HTS, OH 44147-2591

Mailing address

PO Box 931591
Cleveland, OH 44193-1719

Other identifiers 2

IdentifierTypeStateIssuer
0917897MedicaidOH
0538663MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address oreststecyk@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35046642SOHMDEmergency Medicine Physician
35-046642OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasant Lake Nursing Home, Inc. Past Accepting new patients
Midwest Emergency Services Ohio, Inc Emergency Medicine Past Accepting new patients
University Hospitals Medical Group Inc Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ostecyk37523@ehrdirect.uhhospitals.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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1063453611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931591",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441931719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ROYALTON RD # 101",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441472591",
            "telephone_number": "440-743-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECYK",
        "first_name": "OREST",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35046642S",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-046642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0917897",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0538663",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oreststecyk@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "303 E Royalton Rd # 101",
            "city": "Broadview Hts",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441472591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Broadview HTS, OH

Sources for this page

Verify at the official NPI Registry.