Individual provider Active NPI

Margaret Robenalt, PA-C

  • Physician Assistant
  • Shaker Heights, OH
National Provider Identifier
1144726852
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1138575 Issued in OH
Practice address
18910 Oxford Rd
Shaker Heights, OH 44122-2528
Phone
(216) 991-6648
NPI assigned
Apr 2, 2018
Last updated
Apr 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1138575 OH Primary

Addresses

Primary practice location

18910 Oxford Rd
Shaker Heights, OH 44122-2528

Mailing address

18910 Oxford Rd
Shaker Heights, OH 44122-2528
Phone (216) 991-6648

Other identifiers 1

IdentifierTypeStateIssuer
1138575OtherOHNCCPA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190220000492 OH Practitioner - Physician Assistant 9537407432 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians

Practice addresses (Care Compare)

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

2500 Metrohealth Dr
Cleveland, OH 44109-1998

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1138575OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Conneaut Medical Center CurrentSince Jan 7, 2019 Accepting new patients
University Hospitals Geneva Medical Center Physician Assistant CurrentSince Jan 7, 2019 Accepting new patients
The Metrohealth System Current Accepting new patients
University Hospitals Conneaut Medical Center Physician Assistant CurrentSince Jan 7, 2019 Accepting new patients
The Metrohealth System CurrentSince Apr 15, 2025 Accepting new patients

Locations

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

158 W Main Rd
Conneaut, OH 44030
Phone (216) 844-3777

870 W Main St
Geneva, OH 44041
Phone (440) 415-0258

Interoperability endpoints

  • Direct secure messaging: margaret.robenalt.1@31377.direct.athenahealth.com
  • Direct secure messaging: margaret.robenalt.1@9327.direct.athenahealth.com
  • Direct secure messaging: mrobenalt309823@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1144726852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18910 OXFORD RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441222528",
            "telephone_number": "216-991-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18910 OXFORD RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441222528",
            "telephone_number": "216-991-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBENALT",
        "first_name": "MARGARET",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "1138575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1138575",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

Verify at the official NPI Registry.