Individual provider Active NPI

Angela Kaye Tomasulo, CNP

  • Primary Care Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1326814161
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
CNP.0035198 Issued in OH
Practice address
11100 Euclid Ave Ste 666
Cleveland, OH 44106-1716
Phone
(973) 668-3606
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X CNP.0035198 OH Primary

Addresses

Primary practice location

11100 Euclid Ave Ste 666
Cleveland, OH 44106-1716

Mailing address

18879 Canyon Rd
Fairview Park, OH 44126-1703
Phone (973) 668-3606

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240430001099 OH Practitioner - Nurse Practitioner 4385084953 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP.0035198OHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince Jan 20, 2024 Accepting new patients
Multicare Health System Past Accepting new patients

Locations

5901 E Royalton Rd
Ste 2300
Broadview Heights, OH 44147
Phone (216) 529-6180

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Ste 2500
Cleveland, OH 44106

11100 Euclid Ave
Ste 170
Cleveland, OH 44106

11100 Euclid Ave
Cleveland Heights, OH 44106

29001 Cedar Rd
Ste 202
Lyndhurst, OH 44124
Phone (440) 461-7999

34055 Solon Rd
Ste 200
Solon, OH 44139
Phone (440) 914-7840

960 Clague Rd
Ste 2470
Westlake, OH 44145
Phone (440) 250-2440

960 Clague Rd
Ste 1600
Westlake, OH 44145
Phone (216) 844-1765

Interoperability endpoints

  • Direct secure messaging: atomasulo45953@ehrdirect.uhhospitals.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1326814161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18879 CANYON RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261703",
            "telephone_number": "973-668-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE STE 666",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "973-668-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASULO",
        "first_name": "ANGELA",
        "middle_name": "KAYE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "CNP.0035198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.