Individual provider Active NPI

Moshe Yaakov Prero, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Cleveland, OH
National Provider Identifier
1114344124
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
11100 Euclid Ave Ste 838
Cleveland, OH 44106-1716
Phone
(216) 844-3267
NPI assigned
Mar 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

11100 Euclid Ave Ste 838
Cleveland, OH 44106-1716

Mailing address

11100 Euclid Avenue RB&C, Suite 838
Uh Rainbow Babies and Children's Hospital
Cleveland, OH 44106
Phone (216) 844-3267

Other practice location 1

University Of Kansas Pediatrics Residency
3901 Rainbow Blvd. M/S 4004
Kansas City, KS 66160-0001
Phone (913) 588-6917

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
I20180404000506 OH Practitioner - Pediatric MedicinePractitioner - Pulmonary DiseasePractitioner - Sleep Medicine 9436455862 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Pulmonary Disease, Sleep Medicine
Education
Other, 2013
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

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Jun 1, 2021 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Mar 21, 2018 Accepting new patients
The Metrohealth System CurrentSince Jun 1, 2021 Accepting new patients
The Metrohealth System Current Accepting new patients
Multicare Health System Past Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients

Locations

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

11100 Euclid Ave
Ste 604
Cleveland, OH 44106

11100 Euclid Ave
Ste 170
Cleveland, OH 44106

11100 Euclid Ave
Cleveland Heights, OH 44106

5850 Landerbrook Dr
Ste 220
Mayfield Hts, OH 44124
Phone (216) 844-1765

Interoperability endpoints

  • Direct secure messaging: mprero36327@ehrdirect.uhhospitals.org
  • Direct secure messaging: mprero167766@direct.metrohealth.org

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114344124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVENUE RB&C, SUITE 838",
            "address_2": "UH RAINBOW BABIES AND CHILDREN'S HOSPITAL",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44106",
            "telephone_number": "216-844-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE STE 838",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-3267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of Kansas Pediatrics Residency",
            "address_2": "3901 Rainbow Blvd. M/S 4004",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661600001",
            "country_code": "US",
            "telephone_number": "913-588-6917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRERO",
        "first_name": "MOSHE",
        "middle_name": "YAAKOV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.