Individual provider Active NPI

Willie C Rabb Jr., D.P.M.

  • Podiatrist
  • Bay Village, OH
National Provider Identifier
1205877503
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003351R Issued in OH
Practice address
27378 W Oviatt Rd
Bay Village, OH 44140-2139
Phone
(440) 871-4700
Fax
(440) 871-4702
NPI assigned
Jun 9, 2006
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
Podiatrist 213E00000X 36003351R OH Primary

Addresses

Primary practice location

27378 W Oviatt Rd
Bay Village, OH 44140-2139

Mailing address

13944 Euclid Ave
Suite 105
Cleveland, OH 44112-3832
Phone (216) 249-9500

Other identifiers 1

IdentifierTypeStateIssuer
2461438MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003351ROHMDPodiatrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205877503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13944 EUCLID AVE",
            "address_2": "SUITE 105",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441123832",
            "telephone_number": "216-249-9500",
            "fax_number": "216-249-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27378 W OVIATT RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402139",
            "telephone_number": "440-871-4700",
            "fax_number": "440-871-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABB",
        "first_name": "WILLIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003351R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2461438",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.