NPIMap

Individual provider Active NPI

Frederick Edem Doamekpor, M.D.

  • Internal Medicine Physician
  • Beachwood, OH
National Provider Identifier
1174943252
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.132215 Issued in OH
Practice address
University Hospitals Ahuja
3999 Richmond Rd, Dept. of Hospital Medicine
Beachwood, OH 44122
Phone
(216) 593-5500
NPI assigned
Apr 16, 2014
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 35.132215 OH
Internal Medicine Physician 207R00000X 35.132215 OH Primary

Addresses

Primary practice location

University Hospitals Ahuja
3999 Richmond Rd, Dept. of Hospital Medicine
Beachwood, OH 44122

Mailing address

30680 Bainbridge Rd
Solon, OH 44139-2282
Phone (440) 542-5025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171011002196 OH Practitioner - HospitalistPractitioner - Internal Medicine 1557664364 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Pittsburgh School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospitalist LLCGroup PAC ID 5496648123, 50 clinicians

Practice addresses (Care Compare)

3700 Kolbe Rd
Lorain, OH 44053-1611
Phone (440) 960-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.132215OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Jul 1, 2018 Accepting new patients
Community Hospitalist, LLC Internal Medicine CurrentSince Aug 26, 2017 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Apr 1, 2018 Accepting new patients
North Coast Professional Company, LLC Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Firelands Regional Medical Center Past Accepting new patients

Locations

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

11100 Euclid Ave
Cleveland Heights, OH 44106

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

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 6

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1174943252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30680 BAINBRIDGE RD",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392282",
            "telephone_number": "440-542-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY HOSPITALS AHUJA",
            "address_2": "3999 RICHMOND RD, DEPT. OF HOSPITAL MEDICINE",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-593-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAMEKPOR",
        "first_name": "FREDERICK",
        "middle_name": "EDEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.132215",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.132215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.