Customcare MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

52123 Issued in OH

Legal business name

CUSTOMCARE MD LLC

Practice address

300 Allen Bradley Dr Ste 240
Mayfield Heights, OH 44124-6130

Phone

(216) 382-8000

Fax

(216) 297-3233

NPI assigned

Oct 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Tomm, M.D.NPI 1891891651

Title

Partner

Phone

(216) 382-8000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21616/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Tomm, M.D.

  • Internal Medicine Physician
  • Mayfield Heights, OH
  • NPI 1891891651
  Medicare reassignment Care Compare group NPD Authorized official
• Susan M Flick, CNP

  • Adult Health Nurse Practitioner
  • Mayfield Heights, OH
  • NPI 1710175179
  Medicare reassignment Care Compare group NPD
• John William Horinger Jr., M.D.

  • Internal Medicine Physician
  • Mayfield Heights, OH
  • NPI 1619234689
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1093904476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ALLEN BRADLEY DR STE 240",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441246130",
            "telephone_number": "216-382-8000",
            "fax_number": "216-297-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ALLEN BRADLEY DR STE 240",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441246130",
            "telephone_number": "216-382-8000",
            "fax_number": "216-297-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOMCARE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "TOMM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "216-382-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "52123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carissa Cox
• Alyssa Crawford, BCBA
• Ashley Crespo
• Jamal Terrel Cromity
• Samantha Cruz
• Katlin Elizabeth D'Annolfo, APRN
• Nadera Dabbain, DO
• Scott Louis Danner, PA-C
• Larry Dashefsky, M.D.
• Chiniqua Marie Davis, RN

• Internal Medicine Physician in Mayfield Heights, OH
• Providers in Mayfield Heights, 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 Jun 5, 2026; 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.

Verify at the official NPI Registry.