Active NPI
Gasan Nemr, MD
- Internal Medicine Physician
- Lakewood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35082501N
- Practice address
- 15000 Madison Ave
Lakewood, OH 44107 - Phone
- (216) 221-7642
- Fax
- (216) 529-7806
- NPI assigned
- Mar 3, 2006
- Last updated
- Jul 11, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35082501N | OH | Primary |
Addresses
Primary practice location
15000 Madison Ave
Lakewood, OH 44107
Mailing address
24651 Center Ridge Rd
Ste 350
Westlake, OH 44145-5627
Phone (440) 895-5056
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11059884 | Other | CAQH | |
| 0119204 | Other | GROUP MEDICAID | |
| 3610861 | Other | GROUP ASC MEDICARE | |
| 9273172 | Other | GROUP MEDICARE | |
| D368301 | Other | GROUP IND DIAGNOSTICS MED | |
| 1780634279 | Other | GROUP NPI | |
| P00035659 | Other | RR MEDICARE INDIVIDUAL | |
| 103872 | Other | KAISER | |
| 2422373 | Medicaid | OH | |
| CA4511 | Other | RR MEDICARE GROUP |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
25200 Ctr Ridge Rd
Westlake, OH 44145-4142
25200 Ctr Ridge Rd
Suite 2300
Westlake, OH 44145-4148
Phone (440) 331-5053
25200 Ctr Ridge Rd
Suite 2400
Westlake, OH 44145-4152
Phone (440) 333-3332
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35082501N | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physicians Centers Inc | Current | Accepting new patients | |
| Premier Physicians Centers, Inc. | Internal Medicine | Current | Accepting new patients |
| North East Ohio Group Practice LLC | Internal Medicine | Past | Accepting new patients |
| Fairview Hospital | Past | Accepting new patients | |
| Premier Physicians Centers, Inc | Past | Accepting new patients | |
| Nivalis Health LLC | Past | Accepting new patients |
Locations
12409 Lorain Ave
Ste 100
Cleveland, OH 44111
Phone (216) 251-9066
15000 Madison Ave
Lakewood, OH 44107
Phone (216) 221-7642
21851 Center Ridge Rd
Ste 107
Rocky River, OH 44116
Phone (216) 221-7642
24500 Center Ridge Rd
Ste 375
Westlake, OH 44145
Phone (440) 467-1954
24651 Center Ridge Rd
Ste 350
Westlake, OH 44145
Phone (440) 328-4949
25200 Center Ridge Rd
Ste 2300
Westlake, OH 44145
Phone (440) 331-5053
29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046
29325 Health Campus Dr
Ste 1
Westlake, OH 44145
Phone (440) 835-6996
Interoperability endpoints
- gasan.nemr@ppc2.eclinicaldirectplus.com
- gnemr35853@ehrdirect.uhhospitals.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Nivalis Health LLC | Hospice | Contracted Managing Employee | Aug 30, 2017 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Westlake, OH
- NPI 1659885135
Contracted Managing Employee
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Westlake, OH
- NPI 1780634279
-
- Internal Medicine Physician
- Rocky River, OH
- NPI 1497230874
-
- Durable Medical Equipment & Medical Supplies
- Westlake, OH
- NPI 1679201479
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1215989611
-
- Community Based Hospice Care Agency
- Westlake, OH
- NPI 1659885135
-
- Internal Medicine Physician
- Middleburg Heights, OH
- NPI 1063575462
-
- Clinical Medical Laboratory
- Westlake, OH
- NPI 1396928883
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Avon, OH
- NPI 1346607017
-
dba Hospice of the Cleveland Clinic
- Community Based Hospice Care Agency
- Independence, OH
- NPI 1598738718
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1215989611
-
dba Integrity Home Care
- Home Health Agency
- Middleburg Heights, OH
- NPI 1861544884
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1194763045
-
- Community Based Hospice Care Agency
- Westlake, OH
- NPI 1659885135
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468195200000",
"number": "1205803665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24651 CENTER RIDGE RD",
"address_2": "STE 350",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441455627",
"telephone_number": "440-895-5056",
"fax_number": "440-333-2935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15000 MADISON AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "44107",
"telephone_number": "216-221-7642",
"fax_number": "216-529-7806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMR",
"first_name": "GASAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2016-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35082501N",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11059884",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID",
"identifier": "0119204",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP ASC MEDICARE",
"identifier": "3610861",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE",
"identifier": "9273172",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP IND DIAGNOSTICS MED",
"identifier": "D368301",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1780634279",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE INDIVIDUAL",
"identifier": "P00035659",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "103872",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2422373",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CA4511",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, OH
- Neighborhood Health Care Incorporated (Neighborhood Family Practice)
- Neighborhood Pediatrics, LLC
- Nekawa Healing Collective
- Christine F Nelson, CNS
- Richard Arnold Nelson, M.D.
- German L Neri, M.D.
- Ashley L Neuman, LPCC-S
- New Age Transportation, LLC (New Age Trans Unlimited DBA New Age Trans)
- New Avenues to Independence, Inc. (New Avenues-Clifton)
- New Avenues to Independence, Inc. (New Avenues-Lakewood)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.