Individual provider Active NPI

Michael J. Pollack, M.D.

  • Gastroenterology Physician
  • Mayfield HTS, OH
National Provider Identifier
1154524882
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35.082579 Issued in OH
Practice address
6770 Mayfield Rd
Suite 415
Mayfield HTS, OH 44124-2299
Phone
(440) 461-2550
Fax
(440) 461-3497
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35.082579 OH Primary

Addresses

Primary practice location

6770 Mayfield Rd
Suite 415
Mayfield HTS, OH 44124-2299

Mailing address

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (440) 461-2550

Other identifiers 1

IdentifierTypeStateIssuer
2873074MedicaidOH

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
I20080708000462 OH Practitioner - GastroenterologyPractitioner - Internal Medicine 5193897163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 2001
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)

3700 Park E Dr
Beachwood, OH 44122-4305
Phone (440) 461-2550

6770 Mayfield Rd
Cleveland, OH 44124-2299
Phone (440) 461-6430

6780 Mayfield Rd
Mayfield Heights, OH 44124-2203

7511 Fredle Dr
Concord Township, OH 44077-9406
Phone (216) 249-7226

7519 Fredle Dr
Concord Township, OH 44077-9406
Phone (216) 444-5806

7530 Fredle Dr
Concord Township, OH 44077-9406
Phone (440) 386-2250

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

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Euclid Hospital Hospital, Euclid, OH, CCN 360082
  • Ashtabula County Medical Center Hospital, Ashtabula, OH, CCN 360125
  • South Pointe Hospital Hospital, Warrensville Heights, OH, CCN 360144

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy144
Upper gastrointestinal (GI) endoscopy for acid reflux350

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Jun 13, 2014 Accepting new patients

Locations

3700 Park East Dr
Ste 100
Cleveland, OH 44122
Phone (216) 593-7180

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

6770 Mayfield Rd
Ste 415
Mayfield Heights, OH 44124
Phone (440) 460-2844

5900 Landerbrook Dr
Ste 190
Mayfield Hts, OH 44124
Phone (440) 461-2550

6770 Mayfield Rd
#424
Mayfield Hts, OH 44124
Phone (440) 461-2793

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1154524882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "440-461-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 MAYFIELD RD",
            "address_2": "SUITE 415",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242299",
            "telephone_number": "440-461-2550",
            "fax_number": "440-461-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35.082579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2873074",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield HTS, OH

Sources for this page

Verify at the official NPI Registry.