Individual provider Active NPI

Leonard P Berenholz, M.D.

  • Otology & Neurotology Physician
  • Warren, OH
National Provider Identifier
1174526305
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
35073963B Issued in OH
Practice address
3893 E Market St
Warren, OH 44484-4706
Phone
(330) 856-4000
Fax
(330) 609-9910
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X 35073963B OH Primary

Addresses

Primary practice location

3893 E Market St
Warren, OH 44484-4706

Mailing address

3893 E Market St
Warren, OH 44484-4706
Phone (330) 856-4000

Other identifiers 1

IdentifierTypeStateIssuer
2048144MedicaidOH

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
I20091015000093 OH Practitioner - Otolaryngology 7911076252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Hahnemann University College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Otologic Group, IncGroup PAC ID 8426952953, 6 clinicians

Practice addresses (Care Compare)

3893 E Market St
Warren, OH 44484-4706
Phone (330) 856-4000

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35073963BOHMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Otologic Group, Inc Otology & Neurotology CurrentSince Jul 1, 1998 Accepting new patients
Lippy Surgery Center LLC PastSince Nov 1, 2007 Accepting new patients

Locations

3893 E Market St
Warren, OH 44484
Phone (330) 856-4000

Organizations & group practices 2

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174526305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3893 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844706",
            "telephone_number": "330-856-4000",
            "fax_number": "330-609-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3893 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844706",
            "telephone_number": "330-856-4000",
            "fax_number": "330-609-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENHOLZ",
        "first_name": "LEONARD",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "OH",
            "license": "35073963B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2048144",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.