Individual provider Active NPI

Camila Piza Purysko, M.D.

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1164863791
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35132111 Issued in OH
Practice address
9500 Euclid Avenue
Cleveland, OH 44195
Phone
(216) 444-9194
NPI assigned
Jul 11, 2013
Last updated
May 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35132111 OH Primary
Diagnostic Radiology Physician 2085R0202X ME137746 FL

Addresses

Primary practice location

9500 Euclid Avenue
Cleveland, OH 44195

Mailing address

9500 Euclid Avenue
Cleveland, OH 44195
Phone (216) 444-9194

Other names 1

  • Camila Piza Former name

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
I20170818002177 OH Practitioner - Diagnostic Radiology 7113299579 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians
Clinic Medical Services CompanyGroup PAC ID 5698674653, 201 clinicians
Wooster Clinic LLCGroup PAC ID 6800708124, 290 clinicians

Practice addresses (Care Compare)

1000 E Washington St
Medina, OH 44256-2170
Phone (330) 725-1000

12300 McCracken Rd
Cleveland, OH 44125-2914
Phone (440) 587-8600

16761 Southpark Ctr
Strongsville, OH 44136-9302
Phone (440) 878-2500

1740 Cleveland Rd
Wooster, OH 44691-2204
Phone (330) 287-4500

18101 Lorain Ave
Cleveland, OH 44111-5612
Phone (216) 671-2205

225 Elyria St
Lodi, OH 44254-1031
Phone (330) 948-1222

2390 E 79TH St
Cleveland, OH 44104-2161

2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-2262

33300 Cleveland Clinic Blvd
Avon, OH 44011-1172
Phone (440) 695-5000

4125 Medina Rd
Akron, OH 44333-2483
Phone (330) 665-8000

4300 Allen Rd
Stow, OH 44224-1032
Phone (330) 945-9300

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

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME137746FLMDDiagnostic Radiology Physician
35132111OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wooster Clinic, LLC CurrentSince Nov 21, 2017 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Aug 9, 2017 Accepting new patients
Clinic Medical Services Company LLC Diagnostic Radiology CurrentSince Aug 9, 2017 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Aug 9, 2017 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

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

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Organizations & group practices 5

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 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": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1164863791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44195",
            "telephone_number": "216-444-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44195",
            "telephone_number": "216-444-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURYSKO",
        "first_name": "CAMILA",
        "middle_name": "PIZA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2024-05-08",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35132111",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME137746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILA",
            "last_name": "PIZA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.