NPIMap

Individual provider Active NPI

Brian S Putka, M.D.

  • Internal Medicine Physician
  • North Ridgeville, OH
National Provider Identifier
1346284890
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-082853 Issued in OH
Practice address
32800 Lorain Rd Ste 2300
North Ridgeville, OH 44039-3430
Phone
(440) 506-5500
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-082853 OH Primary

Addresses

Primary practice location

32800 Lorain Rd Ste 2300
North Ridgeville, OH 44039-3430

Mailing address

6000 W Creek Rd
Suite 10
Independence, OH 44131-2182
Phone (800) 223-2273

Other identifiers 2

IdentifierTypeStateIssuer
000000348339OtherOHANTHEM
2407274MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address brianputka@uhps.allscriptsdirect.net
Direct Messaging Address brianputka@uhps.allscriptsdirect.net

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
I20050211000004 OH Practitioner - GastroenterologyPractitioner - Internal Medicine 0143272823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Medical College of Ohio, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

125 E Broad St
Suite 218
Elyria, OH 44035-6447
Phone (440) 329-7310

158 W Main Rd
Conneaut, OH 44030-2039

32800 Lorain Rd
North Ridgeville, OH 44039-3430

630 E River St
Elyria, OH 44035-5902
Phone (440) 329-7500

Hospital & facility affiliations

  • University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145
  • Uh St John Medical Center Hospital, Westlake, OH, CCN 360123
  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy125
Upper gastrointestinal (GI) endoscopy for acid reflux88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-082853OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Jan 1, 2019 Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

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

32800 Lorain Rd
Ste 2300
North Ridgeville, OH 44039
Phone (440) 406-5500

Interoperability endpoints

  • Direct secure messaging: bputka37279@ehrdirect.uhhospitals.org

Organizations & group practices 5

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 7

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1346284890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 W CREEK RD",
            "address_2": "SUITE 10",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312182",
            "telephone_number": "800-223-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32800 LORAIN RD STE 2300",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393430",
            "telephone_number": "440-506-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTKA",
        "first_name": "BRIAN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-082853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000348339",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2407274",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brianputka@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "32800 Lorain Rd Ste 2300",
            "city": "North Ridgeville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440393430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brianputka@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "125 E Broad St Ste 322",
            "city": "Elyria",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440356447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Ridgeville, OH

Sources for this page

Verify at the official NPI Registry.