Active NPI
Dawn E Riebe, MD
- Pediatrics Physician
- Shaker HTS, OH
National Provider Identifier
1336343201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35-091688
- Practice address
- 3461 Warrensville Center Rd Ste 105
Shaker HTS, OH 44122-5227 - Phone
- (216) 991-4180
- Fax
- (216) 991-7329
- NPI assigned
- Jun 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35-091688 | OH | Primary |
Addresses
Primary practice location
3461 Warrensville Center Rd Ste 105
Shaker HTS, OH 44122-5227
Mailing address
PO Box 74606
Cleveland, OH 44194-0689
Phone (216) 991-4180
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2839165 | Medicaid | OH | |
| 000000571760 | Other | OH | ANTHEM |
Other names 1
- Dr. Dawn Elizabeth Delooze
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-091688 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- driebe37237@ehrdirect.uhhospitals.org
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Twinsburg, OH
- NPI 1326166752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230681600000",
"number": "1336343201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74606",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441940689",
"telephone_number": "216-991-4180",
"fax_number": "216-991-7329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3461 WARRENSVILLE CENTER RD STE 105",
"city": "SHAKER HTS",
"state": "OH",
"postal_code": "441225227",
"telephone_number": "216-991-4180",
"fax_number": "216-991-7329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEBE",
"first_name": "DAWN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2008-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35-091688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2839165",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000571760",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DAWN",
"last_name": "DELOOZE",
"middle_name": "ELIZABETH",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Shaker HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.