Individual provider Active NPI

Michael James Crotty, M.D.

  • Internal Medicine Physician
  • Akron, OH
National Provider Identifier
1215199559
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NOT ISSUED YET Issued in OH
Practice address
55 Arch St
Dept of Internal Medicine Suite 1a
Akron, OH 44304-1423
Phone
(330) 375-3315
NPI assigned
Jun 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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 NOT ISSUED YET OH Primary

Addresses

Primary practice location

55 Arch St
Dept of Internal Medicine Suite 1a
Akron, OH 44304-1423

Mailing address

55 Arch St
Dept of Internal Medicine Suite 1a
Akron, OH 44304-1423
Phone (330) 375-3315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140218001012 OH Practitioner - HospitalistPractitioner - Internal Medicine 2668601576 Reassigns benefits to 2 organizations
I20231026002960 TN Practitioner - Internal Medicine 2668601576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Toledo College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Healthcare of Tennessee, PCGroup PAC ID 8628221165, 36 clinicians

Practice addresses (Care Compare)

400 E Tickle St
Dyersburg, TN 38024-3120
Phone (731) 285-2410

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NOT ISSUED YETOHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Feb 10, 2020 Accepting new patients
Cogent Healthcare of Tennessee, PC Internal Medicine CurrentSince Sep 19, 2023 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

5151 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 337-1066

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

Organizations & group practices 3

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 1

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1215199559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ARCH ST",
            "address_2": "DEPT OF INTERNAL MEDICINE SUITE 1A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041423",
            "telephone_number": "330-375-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ARCH ST",
            "address_2": "DEPT OF INTERNAL MEDICINE SUITE 1A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041423",
            "telephone_number": "330-375-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROTTY",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "NOT ISSUED YET",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.