Individual provider Active NPI

Arkady Peterman, M.D,

  • Internal Medicine Physician
  • Euclid, OH
National Provider Identifier
1073512273
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.091234 Issued in OH
Practice address
27801 Euclid Ave Ste 100
Euclid, OH 44132-3547
Phone
(440) 840-5289
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 235143 NY
Internal Medicine Physician 207R00000X 35.091234 OH Primary

Addresses

Primary practice location

27801 Euclid Ave Ste 100
Euclid, OH 44132-3547

Mailing address

140 Fox Hollow Dr Apt 403
Cleveland, OH 44124-4173
Phone (440) 840-5289

Other practice location 1

24932 Aurora Rd Ste C
Bedford, OH 44146-1790
Phone (440) 644-3979

Other practice location 2

535 Main St
Olean, NY 14760-1513
Phone (716) 372-0141 ext. 2416

Other identifiers 1

IdentifierTypeStateIssuer
02633443MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.091234OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Group Past Accepting new patients

Organizations & group practices 1

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1073512273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 FOX HOLLOW DR APT 403",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441244173",
            "telephone_number": "440-840-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27801 EUCLID AVE STE 100",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323547",
            "telephone_number": "440-840-5289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24932 Aurora Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "OH",
            "postal_code": "441461790",
            "country_code": "US",
            "telephone_number": "440-644-3979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Main St",
            "address_purpose": "LOCATION",
            "city": "Olean",
            "state": "NY",
            "postal_code": "147601513",
            "country_code": "US",
            "telephone_number": "716-372-0141 x2416",
            "fax_number": "716-376-2451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERMAN",
        "first_name": "ARKADY",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "235143",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.091234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02633443",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.