Rogelia Bulilan Medidas, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35.034992 Issued in OH

Practice address

3600 Franklin Blvd
Cleveland, OH 44113-2831

Phone

(216) 363-7733

Fax

(216) 631-7055

NPI assigned

Feb 1, 2007

Sex

Female

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1093853491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932127",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930008",
            "telephone_number": "216-472-2730",
            "fax_number": "216-472-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FRANKLIN BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441132831",
            "telephone_number": "216-363-7733",
            "fax_number": "216-631-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDIDAS",
        "first_name": "ROGELIA",
        "middle_name": "BULILAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.034992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0216420",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Care Center LLC
• Medical Eye Assoc Inc
• Medical Mutual of Ohio
• Medical Transportation Associates LLC
• Medicina Medical, LLC
• Mauricio Medina Pizarro, MD
• Christian Omar Medina, CDCA PRE
• Erica Medina, QMHS CMS
• Mariyah Medina
• Melanie Medina, QMHS, CMS

• Internal Medicine Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.