Active NPI
Harold Melvin Ickes II
- Internal Medicine Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 57.028018
- Practice address
- 2351 E 22ND St
Suite 338W
Cleveland, OH 44115-3111 - Phone
- (216) 861-6200
- Fax
- (216) 363-7490
- NPI assigned
- May 27, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57.028018 | OH | Primary |
Addresses
Primary practice location
2351 E 22ND St
Suite 338W
Cleveland, OH 44115-3111
Mailing address
363 Eastwood Ave
Tallmadge, OH 44278-3124
Phone (330) 388-8302
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 344-6000
Hospital & facility affiliations
- Akron General Medical Center
- Medina Hospital
- Cleveland Clinic
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.028018 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| Community Hospitalist, LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Richland County, LTD | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Internal Medicine | Current | Accepting new patients |
Locations
1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
2351 E 22nd St
Ste 338W
Cleveland, OH 44115
Phone (224) 814-2873
11100 Euclid Ave
Cleveland Heights, OH 44106
630 E River St
Elyria, OH 44035
Phone (440) 329-7450
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
-
- Internal Medicine Physician
- Canton, OH
- NPI 1639119027
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
-
- General Acute Care Hospital
- Medina, OH
- NPI 1083696710
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1154779437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 EASTWOOD AVE",
"city": "TALLMADGE",
"state": "OH",
"postal_code": "442783124",
"telephone_number": "330-388-8302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 E 22ND ST",
"address_2": "SUITE 338W",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441153111",
"telephone_number": "216-861-6200",
"fax_number": "216-363-7490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ICKES",
"first_name": "HAROLD",
"middle_name": "MELVIN",
"name_prefix": "Dr.",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-27",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.028018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.