NPIMap

Individual provider Active NPI

James Klejka, MD

  • Physical Medicine & Rehabilitation Physician
  • Akron, OH
National Provider Identifier
1306839709
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35.06115 Issued in OH
Practice address
3975 Embassy Pkwy
Akron, OH 44333-8320
Phone
(330) 668-4094
NPI assigned
Aug 31, 2005
Last updated
May 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 35.06115 OH Primary

Addresses

Primary practice location

3975 Embassy Pkwy
Akron, OH 44333-8320

Mailing address

3975 Embassy Pkwy
Akron, OH 44333-8320
Phone (330) 668-4040

Other identifiers 1

IdentifierTypeStateIssuer
0918967MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100316001049 OH Practitioner - Physical Medicine and Rehabilitation 3779618020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Ohio State University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3975 Embassy Pkwy
Akron, OH 44333-8320
Phone (330) 668-4040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.06115OHMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Clinic Orthopaedic Center LLC Physical Medicine & Rehabilitation CurrentSince Oct 31, 2020 Accepting new patients
Crystal Clinic Orthopaedic Center LLC CurrentSince Oct 31, 2020 Accepting new patients

Locations

20 Olive St
Ste 200
Akron, OH 44310
Phone (330) 535-3396

3975 Embassy Pkwy
Akron, OH 44333
Phone (330) 670-4242

3975 Embassy Pkwy
Ste 2
Akron, OH 44333
Phone (330) 668-4094

3975 Embassy Pkwy
Ste 202
Akron, OH 44333
Phone (330) 668-4085

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1306839709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 EMBASSY PKWY",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443338320",
            "telephone_number": "330-668-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 EMBASSY PKWY",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443338320",
            "telephone_number": "330-668-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEJKA",
        "first_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35.06115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0918967",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.