Organization Active NPI

Jeffrey a. Chaitoff,MD,LLC

  • Primary Care Clinic/Center
  • Solon, OH
National Provider Identifier
1326237140
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
35036076C Issued in OH
Legal business name
JEFFREY A. CHAITOFF,MD,LLC
Practice address
31340 Solon Rd Ste 27
Solon, OH 44139-3574
Phone
(440) 919-0180
Fax
(440) 919-0181
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Mrs. Barbara D. Burgess
Title
Practice Administrator
Phone
(440) 919-0180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 35036076C OH Primary

Addresses

Primary practice location

31340 Solon Rd Ste 27
Solon, OH 44139-3574

Mailing address

31340 Solon Rd Ste 27
Solon, OH 44139-3574
Phone (440) 919-0180

Other identifiers 1

IdentifierTypeStateIssuer
2834366MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071109000263 OH Part B Supplier - Clinic/Group Practice 0042308926 Receives reassigned benefits from 1 practitioner
Practice locations: Solon, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1077607Jeffrey a Chaitoff MD LLC31340 Solon Road, Suite 27, Solon, OH 44139Certificate of waiverOct 3, 2026

National Provider Directory

National Provider Directory

Locations

6563 Wilson Mills Rd
Ste 104
Mayfield Vlg, OH 44143
Phone (440) 919-0180

31340 Solon Rd
Ste 27
Solon, OH 44139
Phone (440) 919-0180

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1326237140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31340 SOLON RD STE 27",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393574",
            "telephone_number": "440-919-0180",
            "fax_number": "440-919-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31340 SOLON RD STE 27",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393574",
            "telephone_number": "440-919-0180",
            "fax_number": "440-919-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A. CHAITOFF,MD,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "440-919-0180",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35036076C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2834366",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.