Individual provider Active NPI

Lawrence A Gervasi, MD

  • Urology Physician
  • Middleburg Heights, OH
National Provider Identifier
1265400592
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35061454G Issued in OH
Practice address
6900 Pearl Rd
2ND Floor
Middleburg Heights, OH 44130-3639
Phone
(440) 845-0900
Fax
(440) 845-7355
NPI assigned
Mar 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35061454G OH Primary

Addresses

Primary practice location

6900 Pearl Rd
2ND Floor
Middleburg Heights, OH 44130-3639

Mailing address

6900 Pearl Rd
2ND Floor
Middleburg Heights, OH 44130-3639
Phone (440) 845-0900

Other identifiers 1

IdentifierTypeStateIssuer
0850833MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lgervasi631571@direct.ohiohealth.com OhioHealth Physician 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050105000509 OH Practitioner - Urology 3678521895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Baylor College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Urology, LLCGroup PAC ID 4789632902, 14 clinicians

Practice addresses (Care Compare)

6900 Pearl Rd
Suite 200
Middleburg Heights, OH 44130-3640
Phone (440) 845-0900

Hospital & facility affiliations

  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35061454GOHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Urology, LLC Urology CurrentSince Jun 12, 1991 Accepting new patients

Locations

5260 Smith Rd
Cleveland, OH 44142
Phone (216) 265-4580

3647 Medina Rd
Medina, OH 44256
Phone (234) 205-2040

6900 Pearl Rd
Ste 200
Middleburg Heights, OH 44130
Phone (440) 845-0900

7255 Old Oak Blvd
Ste C412
Middleburg Heights, OH 44130
Phone (440) 816-4546

6900 Pearl Rd
Fl 2
Middleburg Heights, OH 44130
Phone (440) 845-0900

6707 Powers Blvd
Ste 309
Parma, OH 44129
Phone (440) 886-5558

Interoperability endpoints

  • Direct secure messaging: lgervasi37661@ehrdirect.uhhospitals.org

Organizations & group practices 1

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 6

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": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1265400592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 PEARL RD",
            "address_2": "2ND FLOOR",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303639",
            "telephone_number": "440-845-0900",
            "fax_number": "440-845-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 PEARL RD",
            "address_2": "2ND FLOOR",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303639",
            "telephone_number": "440-845-0900",
            "fax_number": "440-845-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERVASI",
        "first_name": "LAWRENCE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35061454G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0850833",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgervasi631571@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "75 Hospital Dr",
            "address_2": "Ste 250",
            "city": "Athens",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457012857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.