Individual provider Active NPI

Janeen M Drazdik, M.D.

  • Family Medicine Physician
  • Middleburg Heights, OH
National Provider Identifier
1164530879
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35074152 Issued in OH
Practice address
7225 Old Oak Blvd
Suite 210a
Middleburg Heights, OH 44130-3339
Phone
(440) 816-2761
Fax
(440) 816-8065
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35074152 OH Primary

Addresses

Primary practice location

7225 Old Oak Blvd
Suite 210a
Middleburg Heights, OH 44130-3339

Mailing address

7225 Old Oak Blvd
Suite 210a
Middleburg Heights, OH 44130-3339
Phone (440) 816-2761

Other identifiers 1

IdentifierTypeStateIssuer
2180072MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DrJaneenDrazdik@southwestfamilyphysicians.medentdirect.com

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
I20100817000479 OH Practitioner - Family Practice 5496889156 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest General Medical Group Inc CurrentSince Apr 1, 2016 Accepting new patients
Southwest General Medical Group Inc. Family Medicine CurrentSince Apr 1, 2016 Accepting new patients
Southwest General Medical Group Inc Family Medicine Current Accepting new patients
Lutheran Hospital Past Accepting new patients

Locations

7225 Old Oak Blvd
Ste A210
Middleburg Heights, OH 44130
Phone (440) 816-2761

7225 Old Oak Blvd
Ste A210A
Middleburg Heights, OH 44130
Phone (440) 816-2761

Interoperability endpoints

  • Direct secure messaging: jdrazdik@direct.swgeneral.com
  • Direct secure messaging: drjaneendrazdik@southwestfamilyphysicians.medentdirect.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1164530879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 OLD OAK BLVD",
            "address_2": "SUITE 210A",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303339",
            "telephone_number": "440-816-2761",
            "fax_number": "440-816-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 OLD OAK BLVD",
            "address_2": "SUITE 210A",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303339",
            "telephone_number": "440-816-2761",
            "fax_number": "440-816-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAZDIK",
        "first_name": "JANEEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35074152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2180072",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DrJaneenDrazdik@southwestfamilyphysicians.medentdirect.com",
            "affiliation": "N",
            "address_1": "7225 Old Oak Blvd",
            "address_2": "Suite 210A",
            "city": "Middleburg Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441303339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.