Individual provider Active NPI

Keith Leonard Kruithoff, M.D.

  • Cardiovascular Disease Physician
  • Parma, OH
National Provider Identifier
1093825317
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35-067258 Issued in OH
Practice address
12301 Snow Rd
Parma, OH 44130-1002
Phone
(216) 621-5600
Fax
(216) 479-5554
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35-067258 OH Primary

Addresses

Primary practice location

12301 Snow Rd
Parma, OH 44130-1002

Mailing address

1001 Lakeside Ave E
#1200
Cleveland, OH 44114-1158
Phone (216) 479-5541

Other identifiers 1

IdentifierTypeStateIssuer
2042257MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040205000986 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac ElectrophysiologyPractitioner - Emergency Medicine 9931092616 Reassigns benefits to 4 organizations
I20081008000869 MI Practitioner - Emergency MedicinePractitioner - Internal Medicine 9931092616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology, Emergency Medicine
Education
University of Massachusetts Medical School, 1989
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
Hillsdale Emergency Physicians, P.C.Group PAC ID 0648605766, 15 clinicians

Practice addresses (Care Compare)

1570 S Canfield Niles Rd BLDG a
Suite 101
Austintown, OH 44515-4077
Phone (234) 264-8980

16761 Southpark Ctr
Strongsville, OH 44136-9302
Phone (440) 878-2500

168 S Howell St
Hillsdale, MI 49242-2040
Phone (517) 437-5125

20455 Lorain Rd
Suite 301
Fairview Park, OH 44126-3531
Phone (216) 476-6961

2550 Som Ctr Rd
Willoughby Hills, OH 44094-9655
Phone (440) 943-2500

26900 Cedar Rd
Beachwood, OH 44122-1191
Phone (216) 839-3000

29800 Bainbridge Rd
Solon, OH 44139-2202
Phone (216) 444-6568

2999 McMackin Rd
Madison, OH 44057-2330
Phone (440) 428-1111

425 Water St
Suite 301
Chardon, OH 44024-1236
Phone (440) 214-6240

5001 Rockside Rd
Independence, OH 44131-2172
Phone (216) 986-4000

6780 Mayfield Rd
Mayfield Heights, OH 44124-2203

6801 Mayfield Rd
Mayfield Heights, OH 44124-2207

6803 Mayfield Rd
Mayfield Heights, OH 44124-2215

7060 Wayside Dr
Mentor, OH 44060-6527
Phone (440) 357-2770

7511 Fredle Dr
Concord Township, OH 44077-9406
Phone (216) 249-7226

7519 Fredle Dr
Concord Township, OH 44077-9406
Phone (216) 444-5806

7530 Fredle Dr
Concord Township, OH 44077-9406
Phone (440) 386-2250

8254 Mayfield Rd
Chesterland, OH 44026-2562

8300 Norton Pkwy
Mentor, OH 44060-6601
Phone (216) 444-2200

8511 Main St
Kinsman, OH 44428-9333
Phone (330) 355-6010

8701 Darrow Rd
Twinsburg, OH 44087-2105
Phone (330) 888-4000

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting30
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-067258OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashtabula County Medical Center CurrentSince Dec 31, 2021 Accepting new patients
The Metrohealth System CurrentSince Feb 3, 2016 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
The Metrohealth System CurrentSince Feb 3, 2016 Accepting new patients
Hillsdale Emergency Physicians, P.C. CurrentSince Jan 28, 2020 Accepting new patients
Wooster Clinic, LLC CurrentSince Jul 16, 2021 Accepting new patients
The Cleveland Clinic Foundation CurrentSince May 10, 2016 Accepting new patients
Hillsdale Emergency Group PC Past Accepting new patients
Horizon Emergency Physicians, P. C. Past Accepting new patients
Hillsdale Emergency Management Company LLC Past Accepting new patients

Locations

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

2422 Lake Ave
Ashtabula, OH 44004
Phone (440) 992-4422

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

26900 Cedar Rd
Cleveland, OH 44122
Phone (216) 839-3000

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

12301 Snow Rd
Parma Heights, OH 44130
Phone (216) 285-8810

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Interoperability endpoints

  • Direct secure messaging: kkruithoff376307@direct.ccf.org

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093825317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LAKESIDE AVE E",
            "address_2": "#1200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441141158",
            "telephone_number": "216-479-5541",
            "fax_number": "216-479-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 SNOW RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301002",
            "telephone_number": "216-621-5600",
            "fax_number": "216-479-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUITHOFF",
        "first_name": "KEITH",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35-067258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2042257",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.