Individual provider Active NPI

Edward J. Rosenthal, MD

  • Urology Physician
  • Mayfield Heights, OH
National Provider Identifier
1114029253
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
130308 Issued in OH
Practice address
6770 Mayfield Rd Ste 226
Mayfield Heights, OH 44124-2299
Phone
(404) 616-4304
Fax
(440) 460-2819
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 130308 OH Primary

Addresses

Primary practice location

6770 Mayfield Rd Ste 226
Mayfield Heights, OH 44124-2299

Mailing address

6770 Mayfield Rd Ste 226
Mayfield Heights, OH 44124-2299
Phone (440) 461-6430

Other identifiers 1

IdentifierTypeStateIssuer
32119700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171010003328 NY Practitioner - Urology 1254396310 Reassigns benefits to 1 organization
I20250311002492 OH Practitioner - Urology 1254396310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

6770 Mayfield Rd
Cleveland, OH 44124-2299
Phone (440) 461-6430

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
130308OHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Urology CurrentSince Sep 20, 2017 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jan 15, 2025 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
South Shore University Hospital Past Accepting new patients

Locations

300 Community Dr
Plandome, NY 11030

850 Hicksville Rd
Ste 104
Seaford, NY 11783
Phone (516) 798-0141

972 Brush Hollow Rd
Westbury, NY 11590

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

12300 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 581-0500

6770 Mayfield Rd
Ste 226
Mayfield Heights, OH 44124
Phone (440) 461-6430

6770 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 460-2808

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

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

Interoperability endpoints

  • Direct secure messaging: edwardrosenthal@nslijmedgr.allscriptsdirect.net

Organizations & group practices 4

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1114029253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 MAYFIELD RD STE 226",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242299",
            "telephone_number": "440-461-6430",
            "fax_number": "440-460-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 MAYFIELD RD STE 226",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242299",
            "telephone_number": "404-616-4304",
            "fax_number": "440-460-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "EDWARD",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "130308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32119700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

Verify at the official NPI Registry.