Active NPI
Diana Elizabeth Drogalis-Kim, D.O.
- Pediatrics Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 34-012996
- Practice address
- 11100 Euclid Ave
Cleveland, OH 44106-1716 - Phone
- (216) 844-7700
- NPI assigned
- Apr 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS016446 | PA | |
| Pediatrics Physician | 208000000X | 34-012996 | OH | Primary |
Addresses
Primary practice location
11100 Euclid Ave
Cleveland, OH 44106-1716
Mailing address
20800 Harvard Rd FL 2
Highland Hills, OH 44122-7250
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dianadrogalis-kim@uhps.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-012996 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Physician Super Specialists Arizona LLC | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Banner Physician Super Specialists Arizona LLC | Current | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
5310 W Thunderbird Rd
Ste 310
Glendale, AZ 85306
Phone (602) 865-4470
5310 W Thunderbird Rd
Ste 214
Glendale, AZ 85306
Phone (602) 865-4480
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
1432 S Dobson Rd
Ste 301
Mesa, AZ 85202
Phone (480) 412-7120
1432 S Dobson Rd
Ste 512
Mesa, AZ 85202
Phone (480) 412-6336
9305 W Thomas Rd
Ste 125
Phoenix, AZ 85037
Phone (602) 865-4065
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
Interoperability endpoints
- ddrogaliskim160818@direct.metrohealth.org
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1841573870
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- Durable Medical Equipment & Medical Supplies
- Mesa, AZ
- NPI 1386462810
-
- Nurse Practitioner
- Tacoma, WA
- NPI 1407808413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1194041749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20800 HARVARD RD FL 2",
"city": "HIGHLAND HILLS",
"state": "OH",
"postal_code": "441227250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061716",
"telephone_number": "216-844-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DROGALIS-KIM",
"first_name": "DIANA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-07",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS016446",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "34-012996",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dianadrogalis-kim@uhps.allscriptsdirect.net",
"affiliation": "N",
"address_1": "11100 Euclid Ave",
"city": "Cleveland",
"state": "OH",
"country_code": "US",
"postal_code": "441061716",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.