Individual provider Active NPI

Kathleen Farhang Petro, M.D.

  • Ophthalmology Physician
  • Willoughby Hills, OH
National Provider Identifier
1265814537
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.135417 Issued in OH
Practice address
35010 Chardon Rd Ste 102
Willoughby Hills, OH 44094
Phone
(216) 574-8900
NPI assigned
Jun 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35.135417 OH Primary

Addresses

Primary practice location

35010 Chardon Rd Ste 102
Willoughby Hills, OH 44094

Mailing address

35010 Chardon Rd Ste 102
Willoughby Hills, OH 44094-9011
Phone (404) 778-4530

Other practice location 1

1365B Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-4530

Other practice location 2

3100 Wooster Rd
Rocky River, OH 44116-4164
Phone (216) 574-8900

Other practice location 3

6701 Rockside Rd Ste 300
Cleveland, OH 44131-2316
Phone (216) 574-8900

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
I20190524001553 OH Practitioner - Ophthalmology 6002105350 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 636-1768

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Medina Hospital Hospital, Medina, OH, CCN 360091

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.135417OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Mar 6, 2025 Accepting new patients
Northern Ohio Eye Consultants Inc Ophthalmology CurrentSince Dec 1, 2024 Accepting new patients
Cei Physicians PSC LLC Ophthalmology CurrentSince Apr 1, 2022 Accepting new patients
Northern Ohio Eye Consultants Inc Ophthalmology CurrentSince Dec 1, 2024 Accepting new patients
Cei Physicians PSC, LLC CurrentSince Apr 1, 2022 Accepting new patients
Cei Physicians PSC LLC Past Accepting new patients

Locations

1 Park West Blvd
Ste 150
Akron, OH 44320
Phone (330) 864-8060

1945 Cei Dr
Blue Ash, OH 45242

6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974

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

2740 Carnegie Ave
Cleveland, OH 44115
Phone (216) 621-6132

857 Graham Rd
Cuyahoga Falls, OH 44221
Phone (330) 923-9585

6701 Rockside Rd
Ste 300
Independence, OH 44131
Phone (216) 574-8900

5106 Wilson Mills Rd
Richmond Hts, OH 44143
Phone (440) 461-2570

3100 Wooster Rd
Rocky River, OH 44116
Phone (216) 574-8900

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

35010 Chardon Rd
Ste 102
Willoughby Hills, OH 44094
Phone (216) 574-8900

35010 Chardon Rd
Bldg Iv
Willoughby Hills, OH 44094
Phone (216) 574-8900

Interoperability endpoints

  • Direct secure messaging: kathleen.petro.p1@direct.cei.nextgenshare.com

Organizations & group practices 6

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 2

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": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1265814537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35010 CHARDON RD STE 102",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949011",
            "telephone_number": "404-778-4530",
            "fax_number": "404-778-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35010 CHARDON RD STE 102",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "216-574-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1365B Clifton Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221013",
            "country_code": "US",
            "telephone_number": "404-778-4530",
            "fax_number": "404-778-4002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Wooster Rd",
            "address_purpose": "LOCATION",
            "city": "Rocky River",
            "state": "OH",
            "postal_code": "441164164",
            "country_code": "US",
            "telephone_number": "216-574-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 Rockside Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441312316",
            "country_code": "US",
            "telephone_number": "216-574-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRO",
        "first_name": "KATHLEEN",
        "middle_name": "FARHANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.135417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

Verify at the official NPI Registry.