NPIMap

Individual provider Active NPI

Ian Seth Suzelis, DO

  • Family Medicine Physician
  • Newton Falls, OH
National Provider Identifier
1124260435
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-009428 Issued in OH
Practice address
43 W Broad St
Newton Falls, OH 44444-1643
Phone
(330) 235-7445
Fax
(216) 201-8034
NPI assigned
Apr 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-009428 OH Primary

Addresses

Primary practice location

43 W Broad St
Newton Falls, OH 44444-1643

Mailing address

43 W Broad St
Newton Falls, OH 44444-1643
Phone (330) 235-7445

Other identifiers 1

IdentifierTypeStateIssuer
2919257MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address iansuzelis@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090722000007 OH Practitioner - Family Practice 9032261045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

158 W Main Rd
Conneaut, OH 44030-2039

Hospital & facility affiliations

  • University Hospitals Portage Medical Center Hospital, Ravenna, OH, CCN 360078
  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-009428OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Jan 1, 2016 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Alliance Community Medical Foundation LLC Past Accepting new patients
Multicare Health System PastSince Nov 29, 2020 Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients
Health Alliance Inc Past Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

Interoperability endpoints

  • Direct secure messaging: isuzelis36831@ehrdirect.uhhospitals.org

Organizations & group practices 8

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 9

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": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1124260435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 W BROAD ST",
            "city": "NEWTON FALLS",
            "state": "OH",
            "postal_code": "444441643",
            "telephone_number": "330-235-7445",
            "fax_number": "216-201-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 W BROAD ST",
            "city": "NEWTON FALLS",
            "state": "OH",
            "postal_code": "444441643",
            "telephone_number": "330-235-7445",
            "fax_number": "216-201-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUZELIS",
        "first_name": "IAN",
        "middle_name": "SETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-009428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2919257",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iansuzelis@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "43 W Broad St",
            "city": "Newton Falls",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444441643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newton Falls, OH

Sources for this page

Verify at the official NPI Registry.