Active NPI
Jacob Louis Ezell, M.D.
- Pain Medicine (Anesthesiology) Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 35.132189
- Practice address
- 9500 Euclid Ave
Cleveland, OH 44195-0001 - Phone
- (216) 444-2200
- NPI assigned
- Mar 26, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35.132189 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0002216264 | IN | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 35.132189 | OH | Primary |
Addresses
Primary practice location
9500 Euclid Ave
Cleveland, OH 44195-0001
Mailing address
1619 N College Ave
Unit 1
Indianapolis, IN 46202-1752
Phone (317) 459-1862
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Indiana University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2603 W Market St
Suite 200
Akron, OH 44313-4234
Phone (330) 677-3628
Hospital & facility affiliations
- Hillcrest Hospital
- Akron General Medical Center
- Cleveland Clinic
- Euclid Hospital
- Medina Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.132189 | OH | MD | Anesthesiology Physician |
| 0002216264 | IN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North East Ohio Group Practice LLC | Current | Accepting new patients | |
| Partners Physician Group | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Partners Physician Group | Current | Accepting new patients |
Locations
2603 W Market St
Ste 200
Akron, OH 44313
Phone (330) 854-1571
224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046
Interoperability endpoints
- jezell321312@scrippshlth.medalliesdirect.net
Organizations & group practices 4
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.
-
- Surgery Physician
- Akron, OH
- NPI 1841239274
-
- Internal Medicine Physician
- Middleburg Heights, OH
- NPI 1063575462
-
- Public Health & General Preventive Medicine Physician
- Akron, OH
- NPI 1164814414
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1598719346
-
- General Acute Care Hospital
- Mayfield HTS, OH
- NPI 1902858152
-
- General Acute Care Hospital
- Medina, OH
- NPI 1083696710
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1295129369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 N COLLEGE AVE",
"address_2": "UNIT 1",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021752",
"telephone_number": "317-459-1862"
},
{
"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": "216-444-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZELL",
"first_name": "JACOB",
"middle_name": "LOUIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-26",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35.132189",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "0002216264",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "OH",
"license": "35.132189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.