NPIMap

Donald Ebersbacher, MD

Individual provider Active NPI Internal Medicine Physician · Mayfield HTS, OH

NPI 1104919224 · NPPES record last updated Dec 16, 2020

Key facts

NPI
1104919224
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
35064361E (OH)
Practice address
5850 Landerbrook Dr Ste 100
Mayfield HTS, OH 44124-4071
Phone
(440) 646-2200
Fax
(440) 646-2209
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 18

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Clinic (6,954 clinicians)

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-3046

Hospital & facility affiliations

  • Cleveland Clinic Hospital · Cleveland, OH · CCN 360180

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20041220001089 OH Practitioner - Internal Medicine 8123086352 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35064361EOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation Current
since Dec 9, 2025		 Accepting new patients
The Cleveland Clinic Foundation Internal Medicine Current
since Dec 9, 2025		 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
University Primary Care Practices Inc Internal Medicine Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients

Locations

9500 Euclid Ave
Ste A10
Cleveland, OH 44195
Phone (216) 444-3046

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

6801 Mayfield Rd
Ste 250
Mayfield Heights, OH 44124
Phone (440) 312-4565

6803 Mayfield Rd
#401
Mayfield Hts, OH 44124
Phone (216) 451-7400

6801 Mayfield Rd
#250
Mayfield Hts, OH 44124
Phone (440) 449-7920

Interoperability endpoints

  • Direct secure messaging: debersbacher37450@ehrdirect.uhhospitals.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35064361E OH Yes

Addresses

Primary practice location

5850 Landerbrook Dr Ste 100
Mayfield HTS, OH 44124-4071

Mailing address

24701 Euclid Ave
Third Floor Billing Services
Euclid, OH 44117-1714
Phone (440) 646-2200

Other identifiers

IdentifierTypeStateIssuer
2066357MedicaidOH

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address donaldebersbacher@uhps.allscriptsdirect.net

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 16, 2020.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1104919224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "THIRD FLOOR BILLING SERVICES",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "440-646-2200",
            "fax_number": "440-646-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 LANDERBROOK DR STE 100",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441244071",
            "telephone_number": "440-646-2200",
            "fax_number": "440-646-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERSBACHER",
        "first_name": "DONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35064361E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2066357",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donaldebersbacher@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5850 Landerbrook Dr Ste 100",
            "city": "Mayfield Hts",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441244071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mayfield HTS, OH

All providers in Mayfield HTS, OH · Internal Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.