NPIMap

Individual provider Active NPI

Anastacia Lagunzad Krizman, DO

  • Internal Medicine Physician
  • Westlake, OH
National Provider Identifier
1093701138
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.007348 Issued in OH
Practice address
850 Columbia Rd
Westlake, OH 44145-1493
Phone
(440) 250-5737
NPI assigned
Sep 23, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 34.007348 OH Primary
Internal Medicine Physician 207R00000X 02002549A IN

Addresses

Primary practice location

850 Columbia Rd
Westlake, OH 44145-1493

Mailing address

9500 Euclid Avenue
Cleveland, OH 44195-0001

Other identifiers 7

IdentifierTypeStateIssuer
15D1043329OtherINCLIA SECONDARY LOCATION
000000353052OtherINANTHEM PRIMARY LOCATION
15D1007700OtherINCLIA PRIMARY LOCATION
000000374719OtherINANTHEM SECONDARY LOCATION
200332310AMedicaidIN
64058498MedicaidKY
P00213395OtherINRAILROAD MEDICARE

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
I20220221001781 OH Practitioner - Internal Medicine 4486609179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
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)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 445-9596

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Feb 9, 2022 Accepting new patients
Perry County Memorial Hospital Past Accepting new patients
Perry County Memorial Hospital Past Accepting new patients
Perry County Memorial Hospital Past Accepting new patients
Perry County Memorial Hospital Past Accepting new patients
Perry County Memorial Hospital Past Accepting new patients
Perry County Memorial Hospital Companion Care Past Accepting new patients
Perry County Memorial Hospital Past Accepting new patients
Perry County Memorial Hospital Past Accepting new patients
Perry County Memorial Hospital Past Accepting new patients
Perry County Memorial Hospital Past Accepting new patients
Perry County Memorial Hospital Internal Medicine Past Accepting new patients
Perry County Memorial Hospital Past Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

850 Columbia Rd
Westlake, OH 44145
Phone (440) 808-4000

Interoperability endpoints

  • Direct secure messaging: alagunzad@yourcarecommunity.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1093701138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 COLUMBIA RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451493",
            "telephone_number": "440-250-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIZMAN",
        "first_name": "ANASTACIA",
        "middle_name": "LAGUNZAD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2023-03-07",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.007348",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02002549A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA SECONDARY LOCATION",
            "identifier": "15D1043329",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PRIMARY LOCATION",
            "identifier": "000000353052",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA PRIMARY LOCATION",
            "identifier": "15D1007700",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM SECONDARY LOCATION",
            "identifier": "000000374719",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200332310A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64058498",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00213395",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.