Nitin Govani MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NITIN GOVANI MD PC

Practice address

13535 Detroit Ave
Suite-1
Lakewood, OH 44107-4625

Phone

(216) 521-3430

Fax

(216) 521-5313

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Nitin Govani, M.D.NPI 1619079050

Title

President

Phone

(216) 521-3430

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

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

• Nitin Govani, MD

  • Internal Medicine Physician
  • Lakewood, OH
  • NPI 1619079050

  Internal Medicine, OH

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295949816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13535 DETROIT AVE,",
            "address_2": "SUITE-1",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074625",
            "telephone_number": "216-521-3430",
            "fax_number": "216-521-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13535 DETROIT AVE",
            "address_2": "SUITE-1",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074625",
            "telephone_number": "216-521-3430",
            "fax_number": "216-521-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NITIN GOVANI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOVANI",
        "authorized_official_first_name": "NITIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-521-3430",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2326656",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Lakewood, OH
• Providers in Lakewood, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.