Individual provider Active NPI

Kevin R Bailey, PA

  • Physician Assistant
  • Cuyahoga Falls, OH
National Provider Identifier
1114016813
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50001974 Issued in OH
Practice address
1900 23Rd St
Cuyahoga Falls, OH 44223-1404
Phone
(330) 971-7246
Fax
(330) 971-7256
NPI assigned
Oct 12, 2006
Last updated
Apr 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50001974 OH Primary

Addresses

Primary practice location

1900 23Rd St
Cuyahoga Falls, OH 44223-1404

Mailing address

1900 23Rd St
Cuyahoga Falls, OH 44223-1404
Phone (330) 971-7246

Other identifiers 1

IdentifierTypeStateIssuer
0074247MedicaidOH

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041119001121 OH Practitioner - Physician Assistant 9436114394 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians
Union Physician Services LLCGroup PAC ID 0143366591, 97 clinicians
Cleveland Clinic Mercy HospitalGroup PAC ID 0547156796, 92 clinicians

Practice addresses (Care Compare)

1 Park Centre Dr
Suite 304
Wadsworth, OH 44281-9482
Phone (330) 334-4620

110 Dublin Dr
Dover, OH 44622-7805
Phone (330) 364-9088

125 Canton Rd NW
Carrollton, OH 44615-1009
Phone (330) 627-7641

1330 Mercy Dr NW
Suite 200
Canton, OH 44708-2624
Phone (330) 489-1000

13944 Euclid Ave
East Cleveland, OH 44112-3804
Phone (216) 767-4242

1587 Boettler Rd
Uniontown, OH 44685-7823

1740 Cleveland Rd
Wooster, OH 44691-2204
Phone (330) 287-4500

17747 Chillicothe Rd
Suite 100
Chagrin Falls, OH 44023-4765
Phone (440) 543-8855

17840 Bagley Rd
Middleburg Heights, OH 44130-3401
Phone (440) 531-6000

205 Hospital Dr
Dover, OH 44622-2058
Phone (330) 343-7950

2570 Som Ctr Rd
Willoughby Hills, OH 44094-9607
Phone (440) 943-2500

2638 Easton St NE
Canton, OH 44721-2655
Phone (330) 494-6480

2935 Lincoln Way NW
Massillon, OH 44647-5203
Phone (330) 236-2300

29800 Bainbridge Rd
Solon, OH 44139-2202
Phone (216) 444-6568

2999 McMackin Rd
Madison, OH 44057-2330
Phone (440) 428-1111

303 Chestnut Commons Dr
Elyria, OH 44035-9607
Phone (440) 366-9444

3574 Ctr Rd
Brunswick, OH 44212-3618
Phone (330) 225-8886

4494 State Route 43
Kent, OH 44240-8206
Phone (330) 344-1600

6200 Whipple Ave NW
North Canton, OH 44720-7624
Phone (330) 966-8884

7060 Wayside Dr
Mentor, OH 44060-6527
Phone (440) 357-2770

7337 Caritas Cir NW
Massillon, OH 44646-9126
Phone (330) 830-6110

857 Graham Rd
Cuyahoga Falls, OH 44221-1170

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50001974OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Mercy Hospital CurrentSince Aug 7, 2025 Accepting new patients
Wooster Clinic, LLC CurrentSince Sep 26, 2024 Accepting new patients
Cleveland Clinic Mercy Hospital CurrentSince Aug 7, 2025 Accepting new patients
The Cleveland Clinic Foundation CurrentSince May 8, 2019 Accepting new patients
Hles of Ohio, Inc. CurrentSince Jan 23, 2017 Accepting new patients
Union Hospital Medical Services, LLC Past Accepting new patients
Emergency Services of Central Ohio LLC Past Accepting new patients
Triad Health Services, LLC Physician Assistant PastSince Oct 1, 2016 Accepting new patients
Ohio Head and Neck Surgeons, Inc Past Accepting new patients
Sayed M Yossef MD Inc PastSince Jun 1, 1996 Accepting new patients
White Trillium Emergency Physicians LLC Physician Assistant Past Accepting new patients
Emergency Medicine Physicians of Guernsey County, LTD Past Accepting new patients
LPP of Ohio LLC Past Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000

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

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

205 Hospital Dr
Dover, OH 44622
Phone (330) 343-3335

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 4

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1114016813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 23RD ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231404",
            "telephone_number": "330-971-7246",
            "fax_number": "330-971-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 23RD ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231404",
            "telephone_number": "330-971-7246",
            "fax_number": "330-971-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "KEVIN",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50001974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074247",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.