Robert S Kakish, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35-047378 Issued in OH

Practice address

7500 Auburn Rd Ste 2200
Concord TWP, OH 44077-9612

Phone

(440) 358-5433

Fax

(440) 358-5434

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• University Primary Care Practices Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1154375681

  Internal Medicine

  NPD (past)
• University Primary Care Practices Inc

  • Urgent Care Clinic/Center
  • North Olmsted, OH
  • NPI 1467533885
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1295841542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "THIRD FLOOR BILLING SERVICES",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "440-358-5433",
            "fax_number": "440-350-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 AUBURN RD STE 2200",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779612",
            "telephone_number": "440-358-5433",
            "fax_number": "440-358-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKISH",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-047378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0492499",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert William Iafelice, MS, RD, LD
• Caitlyn Anne Iammarino, AU.D.
• Institute for Spine Inc
• Stacey L Johnson, LPCC
• Tina Marie Trzaska Joyce, DO
• Robert L Katz, MD
• Korenko Therapy Services, Inc.
• Glenn M Korenko, PT
• Patricia M Korenko, PT
• Lake Cardiovascular LLC

• Internal Medicine Physician in Concord TWP, OH
• Providers in Concord TWP, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.