Organization Active NPI

Xcell Medical Group

  • Multi-Specialty Clinic/Center
  • Elyria, OH
National Provider Identifier
1295149243
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
XCELL MEDICAL GROUP
Practice address
710 Leona St
Elyria, OH 44035-2349
Phone
(440) 324-0092
Fax
(440) 324-0093
NPI assigned
Jun 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Heather Conroy
Title
Office Manager
Phone
(216) 759-9306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

710 Leona St
Elyria, OH 44035-2349

Mailing address

710 Leona St
Elyria, OH 44035-2349
Phone (440) 324-0092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140811000673 OH Part B Supplier - Clinic/Group Practice 7416174701 Receives reassigned benefits from 9 practitioners
Practice locations: Elyria, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2210605Xcell Medical Group710 Leona Street, Elyria, OH 44035Certificate of waiverJan 21, 2027

National Provider Directory

National Provider Directory

Locations

710A Leona St
Elyria, OH 44035
Phone (440) 324-0092

710 Leona St
Elyria, OH 44035
Phone (440) 324-0092

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1295149243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 LEONA ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352349",
            "telephone_number": "440-324-0092",
            "fax_number": "440-324-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LEONA ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352349",
            "telephone_number": "440-324-0092",
            "fax_number": "440-324-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XCELL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "216-759-9306"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.