Individual provider Active NPI

Michael D. Coffey, MD

  • Neuroradiology Physician
  • Cleveland, OH
National Provider Identifier
1316963135
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
35-076346 Issued in OH
Practice address
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone
(216) 844-1700
Fax
(216) 286-6341
NPI assigned
Jul 14, 2006
Last updated
Oct 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 35-076346 OH
Nuclear Cardiology Physician 207UN0901X 35-076346 OH
Nuclear Imaging & Therapy Physician 207UN0902X 35-076346 OH
In Vivo & In Vitro Nuclear Medicine Physician 207UN0903X 35-076346 OH
Body Imaging Physician 2085B0100X 35-076346 OH
Neuroradiology Physician 2085N0700X 35-076346 OH Primary
Nuclear Radiology Physician 2085N0904X 35-076346 OH
Pediatric Radiology Physician 2085P0229X 35-076346 OH
Radiation Oncology Physician 2085R0001X 35-076346 OH
Diagnostic Radiology Physician 2085R0202X 35-076346 OH
Therapeutic Radiology Physician 2085R0203X 35-076346 OH
Vascular & Interventional Radiology Physician 2085R0204X 35-076346 OH
Diagnostic Ultrasound Physician 2085U0001X 35-076346 OH
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 35-076346 OH
Hospice and Palliative Medicine (Radiology) Physician 2085H0002X 35-076346 OH

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

24701 Euclid Ave
3Rd Floor
Euclid, OH 44117-1714

Other identifiers 11

IdentifierTypeStateIssuer
000000503579OtherOHANTHEM
1316963135MedicaidMI
2303831MedicaidOH
363432OtherOHWELLCARE
1010331610001MedicaidPA
0304914OtherOHBCMH
732284OtherOHBUCKEYE
P00358782OtherOHRAILROAD MEDICARE
000000204722OtherOHUNISON
Q76346MedicaidOH
7308348OtherOHAETNA

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20061120000085 OH Practitioner - Diagnostic Radiology 8123026523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

13207 Ravenna Rd
Chardon, OH 44024-7032
Phone (440) 285-6000

158 W Main Rd
Conneaut, OH 44030-2039
Phone (440) 593-1131

29000 Ctr Ridge Rd
Westlake, OH 44145-5219
Phone (440) 250-8660

32800 Lorain Rd
North Ridgeville, OH 44039-3430
Phone (440) 406-5550

36000 Euclid Ave
Willoughby, OH 44094-4625
Phone (216) 844-3800

3999 Richmond Rd
Beachwood, OH 44122-6046
Phone (216) 593-5500

870 W Main St
Geneva, OH 44041-1219
Phone (216) 286-6242

9000 Mentor Ave
Mentor, OH 44060-4496
Phone (440) 205-4505

960 Clague Rd
Suite 1600
Westlake, OH 44145-1586
Phone (216) 844-7700

960 Clague Rd
Suite 2470
Westlake, OH 44145-1585
Phone (216) 844-1988

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-076346OHMDHospice and Palliative Medicine (Radiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Jan 1, 2007 Accepting new patients
University Imaging Inc Nuclear Radiology Past Accepting new patients
University Radiologists of Cleveland Inc Neuroradiology Past Accepting new patients

Locations

44 Blaine Ave
Cleveland, OH 44146
Phone (330) 528-3593

11100 Euclid Ave
Cleveland Heights, OH 44106

24701 Euclid Ave
Fl 3
Euclid, OH 44117
Phone (216) 383-6950

1611 S Green Rd
South Euclid, OH 44121
Phone (216) 286-6295

1611 S Green Rd
Ste 9
South Euclid, OH 44121
Phone (216) 382-7745

Interoperability endpoints

  • Direct secure messaging: mcoffey30329@ehrdirect.uhhospitals.org

Organizations & group practices 3

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 8

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.

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1316963135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "3RD FLOOR",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-1700",
            "fax_number": "216-286-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "MICHAEL",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
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            "primary": false
        },
        {
            "code": "207UN0901X",
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            "state": "OH",
            "license": "35-076346",
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        },
        {
            "code": "207UN0902X",
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            "state": "OH",
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        },
        {
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            "primary": false
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        {
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            "primary": false
        },
        {
            "code": "2085P0229X",
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            "desc": "Radiology, Pediatric Radiology",
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            "primary": false
        },
        {
            "code": "2085R0001X",
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            "desc": "Radiology, Radiation Oncology",
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            "license": "35-076346",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-076346",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
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            "license": "35-076346",
            "primary": false
        },
        {
            "code": "2085R0204X",
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            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OH",
            "license": "35-076346",
            "primary": false
        },
        {
            "code": "2085U0001X",
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            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "OH",
            "license": "35-076346",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "OH",
            "license": "35-076346",
            "primary": false
        },
        {
            "code": "2085H0002X",
            "taxonomy_group": "",
            "desc": "Radiology, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "35-076346",
            "primary": false
        }
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            "identifier": "0304914",
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            "issuer": "AETNA",
            "identifier": "7308348",
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    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.