Individual provider Active NPI

Daniela I Prada, MD

  • Internal Medicine Physician
  • Lyndhurst, OH
National Provider Identifier
1174598551
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35079528 Issued in OH
Practice address
5187 Mayfield Road
Suite 105
Lyndhurst, OH 44124
Phone
(440) 449-1014
Fax
(440) 449-8157
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35079528 OH Primary

Addresses

Primary practice location

5187 Mayfield Road
Suite 105
Lyndhurst, OH 44124

Mailing address

5187 Mayfield Road
Suite 105
Lyndhurst, OH 44124
Phone (440) 449-1014

Other identifiers 2

IdentifierTypeStateIssuer
2302949MedicaidOH
1174598551OtherOHNPI

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
I20070919000157 OH Practitioner - Internal Medicine 2860586039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 442-1270

Hospital & facility affiliations

  • Cleveland Clinic Home Care Home health agency, Independence, OH, CCN 367142
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • South Pointe Hospital Hospital, Warrensville Heights, OH, CCN 360144
  • Euclid Hospital Hospital, Euclid, OH, CCN 360082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35079528OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Jan 8, 2020 Accepting new patients

Locations

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

5195 Mayfield Rd
Ste 101
Lyndhurst, OH 44124
Phone (216) 442-0400

5187 Mayfield Rd
Ste 20
Lyndhurst, OH 44124

5187 Mayfield Rd
Ste 105
Lyndhurst, OH 44124
Phone (440) 461-0220

34500 Chardon Rd
Willoughby Hills, OH 44094
Phone (440) 386-4200

34500 Chardon Rd
Ste 6
Willoughby Hills, OH 44094
Phone (440) 386-2009

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1174598551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5187 MAYFIELD ROAD",
            "address_2": "SUITE 105",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "44124",
            "telephone_number": "440-449-1014",
            "fax_number": "440-449-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5187 MAYFIELD ROAD",
            "address_2": "SUITE 105",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "44124",
            "telephone_number": "440-449-1014",
            "fax_number": "440-449-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADA",
        "first_name": "DANIELA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35079528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2302949",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174598551",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

Verify at the official NPI Registry.