Individual provider Active NPI

Henry Emil Vucetic, MD

  • Pain Medicine (Anesthesiology) Physician
  • Willoughby, OH
National Provider Identifier
1104015213
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
35.092655 Issued in OH
Practice address
5105 Som Center Road
Suite 202
Willoughby, OH 44094
Phone
(440) 953-5760
Fax
(440) 953-5761
NPI assigned
Oct 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35.092655 OH
Pain Medicine (Anesthesiology) Physician 207LP2900X 32734 OK
Pain Medicine (Anesthesiology) Physician 207LP2900X 35.092655 OH Primary

Addresses

Primary practice location

5105 Som Center Road
Suite 202
Willoughby, OH 44094

Mailing address

7590 Auburn Road, Suite 014
Attn: Med Staff
Concord TWP, OH 44077-9176
Phone (440) 354-1899

Other practice location 1

307 W Main St
Ste. C
Kent, OH 44240-2400
Phone (330) 677-3628

Other practice location 2

25501 Chagrin Blvd
Beachwood, OH 44122-5603
Phone (216) 545-4800

Other practice location 3

9485 Mentor Avenue
Suite 103
Mentor, OH 44060
Phone (440) 205-5799

Other practice location 4

802 S Jackson Ave Ste 410
Tulsa, OK 74127-9059
Phone (918) 631-8202

Other identifiers 6

IdentifierTypeStateIssuer
200689470AMedicaidOK
1841239274OtherOHPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
9338635OtherOHPARTNERS PHYSICIAN GROUP MEDICARE GROUP #
2551671OtherOHPARTNERS PHYSICIAN GROUP MEDICAID GROUP #
3141442MedicaidOH
2N2063OtherOKMEDICARE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110510000413 OH Practitioner - AnesthesiologyPractitioner - Pain Management 4385820265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
West Virginia University School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians
Menorah Park Center for Senior LivingGroup PAC ID 3577469444, 79 clinicians
King David Aquatic Center LLCGroup PAC ID 3870038714, 15 clinicians

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

25501 Chagrin Blvd
Suite 200
Beachwood, OH 44122-5603
Phone (844) 746-8537

27100 Cedar Rd
Beachwood, OH 44122-1109

27300 Cedar Rd
Beachwood, OH 44122-1110
Phone (216) 831-6500

5105 Som Ctr Rd
Willoughby, OH 44094-4203

7580 Auburn Rd
Suite 214
Concord Township, OH 44077-9617
Phone (440) 354-0944

8655 Market St
Mentor, OH 44060-4112
Phone (440) 833-2010

Hospital & facility affiliations

  • Lake Health Hospital, Concord, OH, CCN 360098
  • University Hospitals Conneaut Medical Center Hospital, Conneaut, OH, CCN 361308
  • Lake Health Beachwood Medical Center Hospital, Beachwood, OH, CCN 360367
  • Uh Regional Hospitals Hospital, Chardon, OH, CCN 360075
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137

Merit-based Incentive Payment System (MIPS)

Final score
87.8 of 100Reported as group
Quality
81.62
Promoting interoperability
99
Improvement activities
40
Cost
72.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.092655OHMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System, Inc CurrentSince May 17, 2021 Accepting new patients
University Primary Care Practices Inc CurrentSince Jan 1, 2025 Accepting new patients
University Primary Care Practices Inc CurrentSince Jan 1, 2025 Accepting new patients
Lake Hospital System Inc CurrentSince May 17, 2021 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

11100 Euclid Ave
Cleveland Heights, OH 44106

7590 Auburn Rd
Ste 14
Concord Township, OH 44077
Phone (440) 354-1899

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

9485 Mentor Ave
Ste 103
Mentor, OH 44060
Phone (440) 205-5799

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

5105 Som Center Rd
Ste 202
Willoughby, OH 44094
Phone (440) 953-5760

5105 Som Center Rd
Ste 200
Willoughby, OH 44094
Phone (440) 953-5760

Interoperability endpoints

  • Direct secure messaging: hvucetic32932@ehrdirect.uhhospitals.org
  • Direct secure messaging: hvucetic334566@direct.ccf.org

Organizations & group practices 8

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 8

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": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1104015213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7590 AUBURN ROAD, SUITE 014",
            "address_2": "ATTN: MED STAFF",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779176",
            "telephone_number": "440-354-1899",
            "fax_number": "440-354-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 SOM CENTER ROAD",
            "address_2": "SUITE 202",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "440-953-5760",
            "fax_number": "440-953-5761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 W Main St",
            "address_2": "Ste. C",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "OH",
            "postal_code": "442402400",
            "country_code": "US",
            "telephone_number": "330-677-3628",
            "fax_number": "330-677-3626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25501 Chagrin Blvd",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441225603",
            "country_code": "US",
            "telephone_number": "216-545-4800",
            "fax_number": "216-545-4810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9485 Mentor Avenue",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "44060",
            "country_code": "US",
            "telephone_number": "440-205-5799",
            "fax_number": "440-205-5798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 S Jackson Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741279059",
            "country_code": "US",
            "telephone_number": "918-631-8202",
            "fax_number": "918-631-8204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUCETIC",
        "first_name": "HENRY",
        "middle_name": "EMIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.092655",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OK",
            "license": "32734",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35.092655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200689470A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP TYPE 2 NPI #",
            "identifier": "1841239274",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICARE GROUP #",
            "identifier": "9338635",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICAID GROUP #",
            "identifier": "2551671",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3141442",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2N2063",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

Verify at the official NPI Registry.