Jack Rzepka, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35-05-1524-R Issued in OH

Practice address

4200 Warrensville Center Rd
Suite 420
Beachwood, OH 44122-7051

Phone

(216) 752-9055

Fax

(216) 752-0990

NPI assigned

Aug 31, 2005

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 4

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cogent Healthcare of Arizona PC

  • Internal Medicine Physician
  • Sierra Vista, AZ
  • NPI 1568758266
  Medicare reassignment NPD
• Clinic Regional Physicians LLC

  • Internal Medicine Physician
  • Beachwood, OH
  • NPI 1043470453

  Family Medicine

  NPD (past)
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  NPD (past)
• Apache Plume Healthcare Associates PC

  • Pediatrics Physician
  • Apache Junction, AZ
  • NPI 1861431843

  Internal Medicine

  NPD (past)
• Arizona Medical Boutique LLC

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1831380781
  NPD (past)
• Arizona Medical Boutique, LLC

  • Public Health or Welfare Agency
  • Phoenix, AZ
  • NPI 1548462716
  NPD (past)
• Comprehensive Hospitalist Services of Arizona LLC

  • Hospitalist Physician
  • Mesa, AZ
  • NPI 1689909780
  NPD (past)
• Comprehensive Hospitalist Services of Arizona, LLC

  • Hospitalist Physician
  • Bullhead City, AZ
  • NPI 1265823215
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1306839790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 WARRENSVILLE CENTER RD",
            "address_2": "SUITE 420",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227051",
            "telephone_number": "216-752-9055",
            "fax_number": "216-752-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WARRENSVILLE CENTER RD",
            "address_2": "SUITE 420",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227051",
            "telephone_number": "216-752-9055",
            "fax_number": "216-752-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RZEPKA",
        "first_name": "JACK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-05-1524-R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "000000503638",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "000000536387",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2350992",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0731864",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Rushing
• Mari Russell
• Stephanie Christina Russell, CNP
• Hannah Rust, PA-C
• Susan J Ruzich, CNP
• Yana Rzepka, AAC
• Reda Saadi
• Clarissa L Saar
• Rantia Sabbah
• Ellen Mayer Sabik, MD

• Internal Medicine Physician in Beachwood, OH
• Providers in Beachwood, 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 Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.