NPIMap

Individual provider Active NPI

Daria M Dreboty-Cerimele, M.D.

  • Family Medicine Physician
  • Middlefield, OH
National Provider Identifier
1073527487
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35085278 Issued in OH
Practice address
15389 W High St
Middlefield, OH 44062-9236
Phone
(440) 632-0594
Fax
(440) 564-5719
NPI assigned
Jul 28, 2006
Last updated
Feb 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35085278 OH Primary

Addresses

Primary practice location

15389 W High St
Middlefield, OH 44062-9236

Mailing address

36000 Euclid Ave # Mso
Willoughby, OH 44094-4625
Phone (440) 953-6082

Other identifiers 2

IdentifierTypeStateIssuer
H486110OtherOHMEDICARE
2523611MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address daria.cerimele@lhpg.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041108000149 OH Practitioner - Family Practice 7012970437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Hospital System, Inc.Group PAC ID 6002713922, 92 clinicians

Practice addresses (Care Compare)

16030 E High St
Suite 101
Middlefield, OH 44062-9474
Phone (440) 632-0594

36500 Euclid Ave
Willoughby, OH 44094-4455
Phone (440) 516-0530

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35085278OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Lake Hospital System, Inc Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Lake Hospital System Inc Family Medicine CurrentSince Aug 23, 2020 Accepting new patients
Lake Hospital System, Inc Family Medicine Past Accepting new patients
Northeast Surgical Associates of Ohio LTD PastSince Jan 1, 2011 Accepting new patients
Water Leasing Co., LLC PastSince Jan 6, 2013 Accepting new patients
Ep Opco, LLC Past Accepting new patients
Burton Health Care Center, Inc. Past Accepting new patients

Locations

15389 W High St
Middlefield, OH 44062
Phone (440) 632-0594

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Interoperability endpoints

  • Direct secure messaging: dcerimele37443@ehrdirect.uhhospitals.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Chardon Healthcare CenterChardon, OH, CCN 365711 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 6, 2013
Jan 6, 2013
Burton Health Care CenterBurton, OH, CCN 366092 Skilled nursing facility Adp of the SNF Jan 27, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1073527487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36000 EUCLID AVE # MSO",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944625",
            "telephone_number": "440-953-6082",
            "fax_number": "440-953-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15389 W HIGH ST",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629236",
            "telephone_number": "440-632-0594",
            "fax_number": "440-564-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREBOTY-CERIMELE",
        "first_name": "DARIA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35085278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H486110",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2523611",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daria.cerimele@lhpg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Baseline West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "16030 East High Street",
            "address_2": "Suite 101",
            "city": "Middlefield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middlefield, OH

Sources for this page

Verify at the official NPI Registry.