Juan Antonio Jimenez, M.D., PH.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

35.129496 Issued in OH

Practice address

18099 Lorain Ave Ste 141
Cleveland, OH 44111-5611

Phone

(216) 941-0333

Fax

(216) 941-5257

NPI assigned

Mar 10, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Urology

Education

Indiana University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
• Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
• Marymount Hospital Hospital, Garfield Heights, OH, CCN 360143
• Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364
• Ashtabula County Medical Center Hospital, Ashtabula, OH, CCN 360125

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: juanjimenez@upllc.allscriptsdirect.net
• Direct secure messaging: jjimenez37884@ehrdirect.uhhospitals.org

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.

• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment Care Compare group NPD

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

• Ashtabula County Medical Center

  • General Acute Care Hospital
  • Ashtabula, OH
  • NPI 1285607416
  Care Compare affiliation
• Cleveland Clinic Avon Hospital

  • General Acute Care Hospital
  • Avon, OH
  • NPI 1346607017
  Care Compare affiliation
• Cleveland Clinic Health System - East Region

  • General Acute Care Hospital
  • Mayfield HTS, OH
  • NPI 1902858152
  Care Compare affiliation
• Marymount Hospital Inc

  • General Acute Care Hospital
  • Garfield Heights, OH
  • NPI 1942248737
  Care Compare affiliation
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Care Compare affiliation

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1073836623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18099 LORAIN AVE STE 141",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115611",
            "telephone_number": "216-941-0333",
            "fax_number": "216-941-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18099 LORAIN AVE STE 141",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115611",
            "telephone_number": "216-941-0333",
            "fax_number": "216-941-5257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5260 Smith Rd",
            "address_purpose": "LOCATION",
            "city": "Brookpark",
            "state": "OH",
            "postal_code": "441421747",
            "country_code": "US",
            "telephone_number": "216-941-0333",
            "fax_number": "216-941-5257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29101 Health Campus Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441455274",
            "country_code": "US",
            "telephone_number": "440-892-6600",
            "fax_number": "440-892-3482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "JUAN",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-10",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35.129496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125785",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juanjimenez@upllc.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Allscripts Pro EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5260 Smith Rd",
            "city": "Brookpark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441421747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diana Jimenez
• Edward Ylagan Jimenez, DDS
• Heather Ashley Jimenez
• Heather Kuhlenschmidt Jimenez, MD
• Joseph Jimenez, PHARMD
• Andrew Jimerson, M.D.
• Carrie M Jimerson, NP
• Gregory Jimison
• Norma J Jimmison, R.N.
• Jin Choi DMD LLC

• Urology Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Urology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.