Michael A Novak, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

35-048833 Issued in OH

Practice address

3401 Enterprise Pkwy
Suite 300
Beachwood, OH 44122-7344

Phone

(216) 831-5700

Fax

(216) 839-4905

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Specialty

Ophthalmology

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Associates of Cleveland, Inc.Group PAC ID 2769463785, 19 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Retina Associates of Cleveland, Inc.

  • Retina Specialist (Ophthalmology) Physician
  • Beachwood, OH
  • NPI 1912991225
  Medicare reassignment Care Compare group NPD
• Fairview Eye Center, Inc

  dba The Eye Centers

  • Ophthalmology Physician
  • Fairview Park, OH
  • NPI 1275512709
  Medicare reassignment NPD
• Fairview Eye Center, Inc

  dba Eye Center of Middleburg Heights

  • Ophthalmology Physician
  • Cleveland, OH
  • NPI 1730694142
  NPD
• Ophthalmic Physicians, Inc

  • Ophthalmology Physician
  • Mentor, OH
  • NPI 1265523237
  NPD (past)
• Retina Associates of Cleveland

  • Physician Assistant
  • Cleveland, OH
  • NPI 1841697463
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1265437867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24075 COMMERCE PARK",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225846",
            "telephone_number": "216-831-5700",
            "fax_number": "216-839-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 ENTERPRISE PKWY",
            "address_2": "SUITE 300",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227344",
            "telephone_number": "216-831-5700",
            "fax_number": "216-839-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "048833",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OH",
            "license": "35-048833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0826931",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000027302",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180030562",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004057921",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northern Ohio Medical Specialists, LLC (NOMS Healthcare)
• Novacare Rehabilitation of Ohio, Inc. (NovaCare Rehabilitation)
• Novacare Rehabilitation of Ohio, Inc. (NovaCare Rehabilitation)
• Anna Novak, L.I.S.W.
• Jamie M Novak, OT
• Joseph Frank Novario, LICENSED OPTICIAN
• Shelby Novick, PHARMD
• NP Healthcare Partners LLC
• Anat Nurko, MA.CCC-SLP
• Tamar Nussbaum, CNP

• Retina Specialist (Ophthalmology) Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Retina Specialist (Ophthalmology) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.