Individual provider Active NPI

Garren James Decaro, M.D.

  • Internal Medicine Physician
  • Middleburg Heights, OH
National Provider Identifier
1326381682
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.127939 Issued in OH
Practice address
16600 W Sprague Rd
Ste 120
Middleburg Heights, OH 44130-6318
Phone
(440) 826-0500
Fax
(440) 826-0501
NPI assigned
Apr 4, 2013
Last updated
Dec 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 35.127939 OH Primary

Addresses

Primary practice location

16600 W Sprague Rd
Ste 120
Middleburg Heights, OH 44130-6318

Mailing address

16600 W Sprague Rd
Ste 120
Middleburg Heights, OH 44130-6318
Phone (440) 826-0500

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
I20160803002363 OH Practitioner - Internal Medicine 1850524802 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.127939OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lorain, LLC Internal Medicine CurrentSince Mar 31, 2018 Accepting new patients
Vpa PC Internal Medicine Current Accepting new patients
Preferred Physician Services of Ohio LLC Internal Medicine CurrentSince Jun 5, 2024 Accepting new patients
Vpa PC Internal Medicine CurrentSince Jan 9, 2017 Accepting new patients
Mercy Health Physicians, Lorain, LLC CurrentSince Mar 31, 2018 Accepting new patients
Vpa PC Internal Medicine CurrentSince Jan 9, 2017 Accepting new patients
Vpa PC Internal Medicine Current Accepting new patients
Ohio Living Communities Past Accepting new patients

Locations

101 Cooper Foster Park Rd
Amherst, OH 44001
Phone (440) 365-7014

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

3239 Jefferson Ave
Ste 1
Cincinnati, OH 45220
Phone (997) 991-9276

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

16600 W Sprague Rd
Ste 120
Middleburg Heights, OH 44130
Phone (440) 826-0500

200 W Lorain St
Oberlin, OH 44074
Phone (440) 323-8515

3366 Riverside Dr
Ste 103
Upper Arlington, OH 43221
Phone (617) 958-5697

9200 Worthington Rd
Ste 300
Westerville, OH 43082
Phone (614) 888-7800

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ohio Living Breckenridge VillageWilloughby, OH, CCN 365581 Skilled nursing facility Adp of the SNF May 20, 2024
Ohio Living RockynolAkron, OH, CCN 365051 Skilled nursing facility Adp of the SNF May 20, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1326381682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16600 W SPRAGUE RD",
            "address_2": "STE 120",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306318",
            "telephone_number": "440-826-0500",
            "fax_number": "440-826-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 W SPRAGUE RD",
            "address_2": "STE 120",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306318",
            "telephone_number": "440-826-0500",
            "fax_number": "440-826-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECARO",
        "first_name": "GARREN",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.127939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.