Individual provider Active NPI

Jay K Costantini, MD

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1225070352
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35063906 Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone
(800) 223-2273
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35063906 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-0001

Mailing address

6000 W Creek Rd
Suite 10
Independence, OH 44131-2139
Phone (800) 223-2273

Other identifiers 1

IdentifierTypeStateIssuer
0137551MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NV, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20031230000371 OH Practitioner - Diagnostic Radiology 0345148235 Reassigns benefits to 4 organizations
I20100222000807 NV Practitioner - Diagnostic Radiology 0345148235 Reassigns benefits to 1 organization
I20230711003106 GA Practitioner - Diagnostic Radiology 0345148235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinic Medical Services CompanyGroup PAC ID 5698674653, 201 clinicians
Allegiance Imaging and Radiology LLCGroup PAC ID 3577838689, 12 clinicians
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

1000 E Washington St
Medina, OH 44256-2170
Phone (330) 721-5117

2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-2262

25900 Science Park Dr
Suite Ac238
Beachwood, OH 44122-7318
Phone (216) 448-3084

2801 N Decatur Rd
Suite 100
Decatur, GA 30033-5924
Phone (404) 937-3046

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8530

Hospital & facility affiliations

  • Crystal Clinic Orthopaedic Center Hospital, Akron, OH, CCN 360351
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Medina Hospital Hospital, Medina, OH, CCN 360091
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35063906OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Dec 15, 2014 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Jun 20, 2011 Accepting new patients
Allegiance Imaging and Radiology, LLC Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Viva Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Cleveland Clinic Nevada Diagnostic Radiology CurrentSince Dec 30, 2009 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Mar 7, 2011 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Aug 1, 2002 Accepting new patients
Clinic Medical Services Company LLC Diagnostic Radiology CurrentSince Jul 1, 2002 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Feb 20, 2006 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Jul 1, 2002 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince May 17, 2004 Accepting new patients
Pennington Radiology Associates LLC Diagnostic Radiology PastSince Apr 20, 2021 Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation Past Accepting new patients
Imaging Associates of Hazleton PC Diagnostic Radiology Past Accepting new patients
Greene Medical Imaging PC Diagnostic Radiology Past Accepting new patients
Vision Imaging of Kingston LLC Diagnostic Radiology Past Accepting new patients

Locations

Dept AT 952576
Atlanta, GA 31192

2801 N Decatur Rd
Ste 100
Decatur, GA 30033
Phone (404) 902-2858

900 Thornton Rd
Ste A
Lithia Springs, GA 30122
Phone (770) 648-7974

888 W Bonneville Ave
Las Vegas, NV 89106
Phone (702) 263-9797

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

25900 Science Park Dr
Ste AC238
Beachwood, OH 44122
Phone (216) 448-3084

5005 Whipple Ave NW
Canton, OH 44718
Phone (234) 364-7090

5400 Kennedy Ave
Cincinnati, OH 45213
Phone (513) 281-3400

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

12300 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 581-0500

6000 W Creek Rd
Ste 10
Independence, OH 44131
Phone (216) 986-1256

5005 Rockside Rd
Independence, OH 44131
Phone (440) 986-4000

6100 W Creek Rd
#35
Independence, OH 44131
Phone (216) 642-8165

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Networks

  • Freedom Health HMO Network

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1225070352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 W CREEK RD",
            "address_2": "SUITE 10",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312139",
            "telephone_number": "800-223-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "800-223-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTANTINI",
        "first_name": "JAY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35063906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0137551",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.