Individual provider Active NPI

Manuel D. Cerqueira, MD

  • Nuclear Medicine Physician
  • Cleveland, OH
National Provider Identifier
1356304232
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
35084867 Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone
(800) 223-2273
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 35084867 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-0001

Mailing address

6000 W Creek Rd
Suite 10
Independence, OH 44131-2139
Phone (216) 444-2200

Other identifiers 1

IdentifierTypeStateIssuer
2490595MedicaidOH

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
I20040827000114 OH Practitioner - Nuclear MedicinePractitioner - Cardiovascular Disease (Cardiology) 6507839214 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35084867OHMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Medical Services Company LLC CurrentSince Jul 1, 2004 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Aug 4, 2004 Accepting new patients
Wooster Clinic, LLC CurrentSince Jan 1, 2006 Accepting new patients
Clinic Medical Services Company CurrentSince Jul 1, 2004 Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation Past Accepting new patients

Locations (25 of 30)

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

4125 Medina Rd
Akron, OH 44333
Phone (330) 375-8104

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

26001 S Woodland Rd
Beachwood, OH 44122
Phone (216) 285-7868

2001 E Royalton Rd
Broadview Hts, OH 44147
Phone (440) 717-5800

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

18200 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7088

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

26900 Cedar Rd
Cleveland, OH 44122
Phone (216) 839-3000

354 W Main Rd
Conneaut, OH 44030
Phone (440) 599-2262

18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000

12300 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 581-0500

1940 Town Park Blvd
Green, OH 44685
Phone (330) 869-5010

5001 Rockside Rd
Independence, OH 44131

5005 Rockside Rd
Independence, OH 44131
Phone (440) 986-4000

6000 W Creek Rd
Ste 10
Independence, OH 44131
Phone (216) 986-1256

234 N Chestnut St
Jefferson, OH 44047
Phone (440) 576-8933

225 Elyria St
Lodi, OH 44254
Phone (330) 948-1222

5800 Cooper Foster Park Rd W
Lorain, OH 44053
Phone (440) 204-7400

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

29800 Bainbridge Rd
Solon, OH 44139
Phone (440) 519-6800

4300 Allen Rd
Stow, OH 44224
Phone (330) 945-3150

16761 Southpark Ctr
Strongsville, OH 44136
Phone (216) 363-2222

Interoperability endpoints

  • Direct secure messaging: mcerqueira59023@direct.ccf.org

Organizations & group practices 6

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1356304232",
    "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": "441312139",
            "telephone_number": "216-444-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "800-223-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERQUEIRA",
        "first_name": "MANUEL",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "OH",
            "license": "35084867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2490595",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.