Individual provider Active NPI

Anthony G. Vlastaris, MD

  • Cardiovascular Disease Physician
  • Fairview Park, OH
National Provider Identifier
1124074364
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35064020 Issued in OH
Practice address
20455 Lorain Rd
Second Floor
Fairview Park, OH 44126-3494
Phone
(440) 333-8600
Fax
(440) 333-5015
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35064020 OH Primary

Addresses

Primary practice location

20455 Lorain Rd
Second Floor
Fairview Park, OH 44126-3494

Mailing address

20455 Lorain Rd
Second Floor
Fairview Park, OH 44126-3494
Phone (440) 333-8600

Other identifiers 1

IdentifierTypeStateIssuer
2022475MedicaidOH

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
I20050616000007 OH Practitioner - Cardiovascular Disease (Cardiology) 2163466509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

14601 Detroit Ave
Lakewood, OH 44107-4205

16761 Southpark Ctr
Strongsville, OH 44136-9302
Phone (440) 878-2500

1730 W 25TH St
Cleveland, OH 44113-3108

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

18101 Lorain Ave
Cleveland, OH 44111-5612
Phone (216) 671-2205

1813 Nagel Rd
Suite 500
Avon, OH 44011-6401
Phone (440) 695-6740

19895 Detroit Rd
Rocky River, OH 44116-1815
Phone (440) 356-5500

20455 Lorain Rd
Fairview Park, OH 44126-3530

20455 Lorain Rd
Suite 301
Fairview Park, OH 44126-3531
Phone (216) 476-6961

24700 Lorain Rd
North Olmsted, OH 44070-2068

27089 Bagley Rd
Olmsted TWP, OH 44138-1103
Phone (440) 234-4700

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

33100 Cleveland Clinic Blvd
Avon, OH 44011-1390
Phone (440) 695-4000

33300 Cleveland Clinic Blvd
Avon, OH 44011-1172
Phone (440) 695-5000

34960 Ctr Ridge Rd
North Ridgeville, OH 44039-3183
Phone (440) 835-3700

450 Avon Belden Rd
Avon Lake, OH 44012-2282
Phone (440) 930-6800

5172 Leavitt Rd
Lorain, OH 44053-2384

5172 N Leavitt Rd
Lorain, OH 44053-2384
Phone (440) 282-7420

5334 Meador Lane CT
Sheffield Village, OH 44035-1469

5700 Cooper Foster Park Rd W
Lorain, OH 44053-4152
Phone (440) 204-7400

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

9500 Euclid Ave
Cleveland, OH 44195-0001

970 E Washington St
Medina, OH 44256-2181

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Fairview Hospital Hospital, Cleveland, OH, CCN 360077
  • Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364
  • Medina Hospital Hospital, Medina, OH, CCN 360091
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35064020OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Aug 5, 2014 Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

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

20455 Lorain Rd
Fl 2
Fairview Park, OH 44126
Phone (216) 252-8700

Organizations & group practices 1

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1124074364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20455 LORAIN RD",
            "address_2": "SECOND FLOOR",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263494",
            "telephone_number": "440-333-8600",
            "fax_number": "440-333-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20455 LORAIN RD",
            "address_2": "SECOND FLOOR",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263494",
            "telephone_number": "440-333-8600",
            "fax_number": "440-333-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLASTARIS",
        "first_name": "ANTHONY",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35064020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022475",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Park, OH

Sources for this page

Verify at the official NPI Registry.