Individual provider Active NPI

Jeffrey Ekstein, M.D.

  • Diagnostic Radiology Physician
  • Lorain, OH
National Provider Identifier
1154323814
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35062760 Issued in OH
Practice address
1720 Cooper Foster Park Rd W
Suite B
Lorain, OH 44053-4200
Phone
(440) 989-4480
Fax
(440) 989-4484
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35062760 OH Primary

Addresses

Primary practice location

1720 Cooper Foster Park Rd W
Suite B
Lorain, OH 44053-4200

Mailing address

1720 Cooper Foster Park Rd W
Suite B
Lorain, OH 44053-4200
Phone (440) 989-4480

Other identifiers 1

IdentifierTypeStateIssuer
868191MedicaidOH

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
I20040115000261 OH Practitioner - Diagnostic RadiologyPractitioner - Emergency Medicine 9638070592 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Emergency Medicine
Education
Boston University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

111 S Grant Ave
Ohiohealth Grant Medical Center
Columbus, OH 43215-4701
Phone (614) 228-7231

3700 Kolbe Rd
Lorain, OH 44053-1611
Phone (888) 271-3826

Hospital & facility affiliations

  • Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.5 of 100Reported as group
Quality
95
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
DRS Russell Berkebile and Associates Inc Diagnostic Radiology CurrentSince Jul 1, 2005 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Mar 22, 2024 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Current Accepting new patients
Firelands Radiology, Inc Diagnostic Radiology CurrentSince Feb 13, 2018 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Diagnostic Radiology CurrentSince Mar 22, 2024 Accepting new patients
University Imaging Inc Diagnostic Radiology Past Accepting new patients
Physicians Link Center LLC Past Accepting new patients
University Radiologists of Cleveland Inc Diagnostic Radiology Past Accepting new patients

Locations

254 Cleveland Ave
Amherst, OH 44001
Phone (440) 988-2831

1997 Healthway Dr
Avon, OH 44011
Phone (440) 329-7720

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

471 E Broad St
Ste 1400
Columbus, OH 43215
Phone (614) 221-9241

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

1900 W River Rd N
Elyria, OH 44035
Phone (440) 233-8004

5940 Oak Point Rd
Lorain, OH 44053
Phone (440) 988-3705

1720 Cooper Foster Park Rd W
Ste B
Lorain, OH 44053

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

221 W 8th St
Lorain, OH 44052
Phone (440) 245-4480

9471 Market St
Ste A
North Lima, OH 44452
Phone (330) 726-7100

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211

1607 State Route 60
Ste 6
Vermilion, OH 44089
Phone (440) 934-8344

1932 Niles Cortland Rd NE
Ste X
Warren, OH 44484
Phone (330) 306-5371

2211 Crocker Rd
Ste 140
Westlake, OH 44145
Phone (440) 808-9729

Organizations & group practices 10

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 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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1154323814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 COOPER FOSTER PARK RD W",
            "address_2": "SUITE B",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440534200",
            "telephone_number": "440-989-4480",
            "fax_number": "440-989-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 COOPER FOSTER PARK RD W",
            "address_2": "SUITE B",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440534200",
            "telephone_number": "440-989-4480",
            "fax_number": "440-989-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKSTEIN",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35062760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "868191",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.