Active NPI
Assure MD LLC
- Internal Medicine Physician
- Cleveland, OH
National Provider Identifier
1083385181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ASSURE MD LLC
- Doing business as
- ASSURE HEALTH PEDIATRICS
Evolve Health
Evolve Health Pediatrics - Practice address
- 1730 W 25TH St Ste 2E
Cleveland, OH 44113-3108 - Phone
- (216) 696-4140
- Fax
- (216) 363-2058
- NPI assigned
- Sep 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Miller
- Title
- VP Operations & Strategy
- Phone
- (740) 360-8976
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Pediatrics Physician | 208000000X | |||
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X |
Addresses
Primary practice location
1730 W 25TH St Ste 2E
Cleveland, OH 44113-3108
Mailing address
10290 Alliance Rd
Blue Ash, OH 45242-4710
Phone (216) 696-4140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0467091 | Medicaid | OH |
Other names 3
- ASSURE HEALTH PEDIATRICS
- Evolve Health
- Evolve Health Pediatrics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4401 W 150th St
Cleveland, OH 44135
Phone (216) 252-7555
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1619943388
-
- Family Nurse Practitioner
- Cleveland, OH
- NPI 1134851520
-
- Psychiatric/Mental Health Nurse Practitioner
- Montgomery, OH
- NPI 1174830590
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1366067621
-
- Pediatrics Physician
- Marysville, OH
- NPI 1851612709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726185600000",
"number": "1083385181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10290 ALLIANCE RD",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452424710",
"telephone_number": "216-696-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 W 25TH ST STE 2E",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441133108",
"telephone_number": "216-696-4140",
"fax_number": "216-363-2058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSURE MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-28",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "VP OPERATIONS & STRATEGY",
"authorized_official_telephone_number": "740-360-8976"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084B0040X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0467091",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ASSURE HEALTH PEDIATRICS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Evolve Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Evolve Health Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.