Individual provider Active NPI

Vjekoslav Jeras, MD

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1104899004
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35085436 Issued in OH
Practice address
25001 Emery Rd
Suite 100
Cleveland, OH 44128-5626
Phone
(216) 831-9786
Fax
(216) 831-2425
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35085436 OH Primary

Addresses

Primary practice location

25001 Emery Rd
Suite 100
Cleveland, OH 44128-5626

Mailing address

25001 Emery Rd
Suite 100
Cleveland, OH 44128-5626
Phone (216) 831-9786

Other identifiers 1

IdentifierTypeStateIssuer
2551617MedicaidOH

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
I20050602000204 OH Practitioner - Diagnostic Radiology 3870536790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Ohio, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35085436OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Feb 26, 2024 Accepting new patients
DRS Russell Berkebile and Associates Inc Diagnostic Radiology PastSince Jul 9, 2023 Accepting new patients
Imaging Consultants of Findlay, Inc Diagnostic Radiology Past Accepting new patients
Eastside MRI Limited Partnership Past Accepting new patients
DRS. Hill & Thomas Co. Past Accepting new patients

Locations

2131 Lake Ave
Ashtabula, OH 44004
Phone (440) 998-2222

11100 Euclid Ave
Cleveland Heights, OH 44106

9485 Mentor Ave
Mentor on Lk, OH 44060
Phone (440) 205-5755

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Interoperability endpoints

  • Direct secure messaging: vjeras219049@ehrdirect.uhhospitals.org

Organizations & group practices 5

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1104899004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25001 EMERY RD",
            "address_2": "SUITE 100",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285626",
            "telephone_number": "216-831-9786",
            "fax_number": "216-831-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25001 EMERY RD",
            "address_2": "SUITE 100",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285626",
            "telephone_number": "216-831-9786",
            "fax_number": "216-831-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERAS",
        "first_name": "VJEKOSLAV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35085436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2551617",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.