NPIMap

Individual provider Active NPI

Kimberly Ann Togliatti-Trickett, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Independence, OH
National Provider Identifier
1336201334
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
35-07-2965-T Issued in OH
Practice address
7900 Victoria Cir
Independence, OH 44131-4891
Phone
(440) 845-5055
Fax
(440) 845-5054
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 35-07-2965-T OH Primary

Addresses

Primary practice location

7900 Victoria Cir
Independence, OH 44131-4891

Mailing address

PO Box 31174
Independence, OH 44131-0174
Phone (440) 845-5055

Other identifiers 1

IdentifierTypeStateIssuer
2361260MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111220000529 OH Practitioner - Physical Medicine and RehabilitationPractitioner - Internal Medicine 0143291179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Internal Medicine
Education
University of Cincinnati College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Primary Care Practices Inc 1,071 clinicians

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

Hospital & facility affiliations

  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • University Hospitals Parma Medical Center Inpatient rehabilitation facility, Parma, OH, CCN 36T041

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince May 1, 2022 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince May 1, 2022 Accepting new patients
Alok Bhaiji, MD, Inc. PastSince Nov 8, 2019 Accepting new patients
Parma Community General Hospital Association Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

Interoperability endpoints

  • Direct secure messaging: ktogliattitrickett37519@ehrdirect.uhhospitals.org

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
University Hospitals Rehabilitation HospitalBeachwood, OH, CCN 363036 Hospital Corporate Director Apr 29, 2020
University Hospitals Avon Rehabilitation HospitalAvon, OH, CCN 363039 Hospital Corporate Director Apr 30, 2020

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 9

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.

Hospital & facility affiliations 6

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.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1336201334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31174",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441310174",
            "telephone_number": "440-845-5055",
            "fax_number": "440-845-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 VICTORIA CIR",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441314891",
            "telephone_number": "440-845-5055",
            "fax_number": "440-845-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOGLIATTI-TRICKETT",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "OH",
            "license": "35-07-2965-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2361260",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.