Individual provider Active NPI

Thomas Richard Hornick, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Cleveland, OH
National Provider Identifier
1114930534
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
35053183 Issued in OH
Practice address
6410 Broadway Ave
Cleveland, OH 44105-1253
Phone
(216) 303-7925
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101283995 VA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 35053183 OH Primary

Addresses

Primary practice location

6410 Broadway Ave
Cleveland, OH 44105-1253

Mailing address

30 W Monroe St Ste 1200
Chicago, IL 60603-2420
Phone (312) 733-9730

Other practice location 1

16888 Harvard Ave
Cleveland, OH 44128-2208
Phone (216) 810-7159

Other practice location 2

10701 East Blvd
Cleveland VAMC
Cleveland, OH 44106-1702
Phone (216) 791-3800 ext. 5613

Other practice location 3

5246 Chamberlayne Rd
Richmond, VA 23227-2950
Phone (804) 913-7029

Other practice location 4

1800A Frederick Blvd
Portsmouth, VA 23707-4618
Phone (757) 337-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA2 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
I20200520003394 OH Practitioner - Internal Medicine 2163688300 Reassigns benefits to 1 organization
I20241213003031 VA Practitioner - Internal Medicine 2163688300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Maryland School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians

Practice addresses (Care Compare)

10553 Saint Clair Ave
Cleveland, OH 44108-1973
Phone (216) 682-7702

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101283995VAMDInternal Medicine Physician
35053183OHMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Osh-Oh Physicians Group PC Internal Medicine CurrentSince Apr 13, 2020 Accepting new patients
Osh-VA Physicians Group PLLC Internal Medicine CurrentSince Oct 9, 2024 Accepting new patients
Nova Physician Group PLLC Internal Medicine PastSince May 12, 2024 Accepting new patients

Locations

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702

6410 Broadway Ave
Cleveland, OH 44105
Phone (216) 303-7925

16888 Harvard Ave
Cleveland, OH 44128
Phone (216) 682-7703

6206 N Military Hwy
Ste H
Norfolk, VA 23518
Phone (757) 271-5282

1800 Frederick Blvd
#A
Portsmouth, VA 23707
Phone (757) 337-6000

1800 Frederick Blvd
Portsmouth, VA 23707
Phone (757) 393-1120

5246 Chamberlayne Rd
Richmond, VA 23227
Phone (804) 913-7029

3900 Hull St Rd
Richmond, VA 23224
Phone (804) 292-7620

Interoperability endpoints

  • Direct secure messaging: thornick182571@direct.metrohealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1114930534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MONROE ST STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606032420",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 BROADWAY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441051253",
            "telephone_number": "216-303-7925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16888 Harvard Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441282208",
            "country_code": "US",
            "telephone_number": "216-810-7159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10701 East Blvd",
            "address_2": "Cleveland VAMC",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061702",
            "country_code": "US",
            "telephone_number": "216-791-3800 x5613",
            "fax_number": "216-421-3027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5246 Chamberlayne Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232272950",
            "country_code": "US",
            "telephone_number": "804-913-7029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800A Frederick Blvd",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237074618",
            "country_code": "US",
            "telephone_number": "757-337-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNICK",
        "first_name": "THOMAS",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101283995",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35053183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.