NPIMap

Organization Active NPI

Med Care Foundation

  • Family Medicine Physician
  • Cleveland, OH
National Provider Identifier
1306419346
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MED CARE FOUNDATION
Practice address
9201 Lorain Ave
Cleveland, OH 44102-4897
Phone
(216) 658-1615
NPI assigned
Jul 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2026

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

Authorized official

Name
Miss Jessica Li
Title
Administrator
Phone
(330) 987-6098

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

9201 Lorain Ave
Cleveland, OH 44102-4897

Mailing address

9201 Lorain Ave
Cleveland, OH 44102-4897
Phone (216) 658-1615

Other practice location 1

6975 W 130th St
Parma Heights, OH 44130-7821
Phone (440) 888-7487

Other practice location 2

4967 Turney Rd
Garfield Heights, OH 44125-2528
Phone (216) 353-9200

Other practice location 3

5526 Detroit Rd
Sheffield Village, OH 44035-1442
Phone (440) 961-2620

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mymedcarecleveland.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260609002370 OH Part B Supplier - Clinic/Group Practice 6002387131 Receives reassigned benefits from 14 practitioners
Practice locations: Garfield Heights, OH; Sheffield Village, OH; Parma Heights, OH; Cleveland, OH

National Provider Directory

National Provider Directory
Tax ID family
Med Care Foundation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4967 Turney Rd
Garfield Heights, OH 44125
Phone (216) 353-9200

5526 Detroit Rd
Sheffield Village, OH 44035
Phone (440) 961-2620

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777161600000",
    "number": "1306419346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441024897",
            "telephone_number": "216-658-1615",
            "fax_number": "440-345-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441024897",
            "telephone_number": "216-658-1615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6975 W 130th St",
            "address_purpose": "LOCATION",
            "city": "Parma Heights",
            "state": "OH",
            "postal_code": "441307821",
            "country_code": "US",
            "telephone_number": "440-888-7487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4967 Turney Rd",
            "address_purpose": "LOCATION",
            "city": "Garfield Heights",
            "state": "OH",
            "postal_code": "441252528",
            "country_code": "US",
            "telephone_number": "216-353-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5526 Detroit Rd",
            "address_purpose": "LOCATION",
            "city": "Sheffield Village",
            "state": "OH",
            "postal_code": "440351442",
            "country_code": "US",
            "telephone_number": "440-961-2620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MED CARE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-987-6098",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mymedcarecleveland.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6975 W 130th St",
            "city": "Parma Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441307821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 26, 2026; 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.