Active NPI
Stephen H. Pearl, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Lyndhurst, OH
National Provider Identifier
1083647903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 36 002378
- Practice address
- 29001 Cedar Rd Ste 302
Lyndhurst, OH 44124-4041 - Phone
- (440) 442-5085
- Fax
- (440) 442-5759
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 36 002378 | OH | Primary |
Addresses
Primary practice location
29001 Cedar Rd Ste 302
Lyndhurst, OH 44124-4041
Mailing address
29001 Cedar Rd Ste 302
Lyndhurst, OH 44124-4041
Phone (440) 442-5085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0694717 | Medicaid | OH |
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071030000320 | OH | Practitioner - Podiatry | 9032206677 | Practice locations: Lyndhurst, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
29001 Cedar Rd
Suite 302
Lyndhurst, OH 44124-4041
Phone (440) 442-5085
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 151 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36 002378 | OH | MD | Foot & Ankle Surgery Podiatrist |
Interoperability endpoints
- spearl37341@ehrdirect.uhhospitals.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1083647903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29001 CEDAR RD STE 302",
"city": "LYNDHURST",
"state": "OH",
"postal_code": "441244041",
"telephone_number": "440-442-5085",
"fax_number": "440-442-5759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29001 CEDAR RD STE 302",
"city": "LYNDHURST",
"state": "OH",
"postal_code": "441244041",
"telephone_number": "440-442-5085",
"fax_number": "440-442-5759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARL",
"first_name": "STEPHEN",
"middle_name": "H.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OH",
"license": "36 002378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0694717",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lyndhurst, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.