Individual provider Active NPI

Janet Marie Buccola, M.D.

  • Internal Medicine Physician
  • Independence, OH
National Provider Identifier
1144283250
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
218808 Issued in MA
Practice address
4401 Rockside Rd Ste 214
Independence, OH 44131-2147
Phone
(330) 626-1113
Fax
(330) 626-1133
NPI assigned
Apr 10, 2006
Last updated
Nov 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 218808 MA Primary

Addresses

Primary practice location

4401 Rockside Rd Ste 214
Independence, OH 44131-2147

Mailing address

1526 Cole Blvd Ste 300
Lakewood, CO 80401-3410
Phone (303) 379-9371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MS2 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
I20071015000000 OH Practitioner - Internal Medicine 2062508542 Reassigns benefits to 1 organization
I20240830000474 MS Practitioner - Internal Medicine 2062508542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Hospitalist GroupGroup PAC ID 4688752371, 22 clinicians

Practice addresses (Care Compare)

611 Alcorn Dr
Corinth, MS 38834-9321
Phone (662) 293-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218808MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Regional Health Center Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Hospitalist Group CurrentSince Jul 1, 2024 Accepting new patients
Mills Medical Practices, LLC CurrentSince Dec 1, 2018 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Regional Health Center CurrentSince Jul 1, 2024 Accepting new patients
Mills Medical Practices, LLC CurrentSince Dec 1, 2018 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Women's Center Past Accepting new patients

Locations

805 N Whittington Pkwy
Ste 200
Louisville, KY 40222

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

401 Alcorn Dr
Ste 2C
Corinth, MS 38834
Phone (662) 286-9255

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

3733 Park East Dr
Ste 220
Beachwood, OH 44122
Phone (440) 368-6868

3737 Park East Dr
Ste 220
Beachwood, OH 44122
Phone (440) 368-6868

4401 Rockside Rd
Ste 214
Independence, OH 44131
Phone (216) 642-1297

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1144283250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 COLE BLVD STE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013410",
            "telephone_number": "303-379-9371",
            "fax_number": "303-284-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 ROCKSIDE RD STE 214",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312147",
            "telephone_number": "330-626-1113",
            "fax_number": "330-626-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCOLA",
        "first_name": "JANET",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "218808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.