NPIMap

Individual provider Active NPI

John Charles Andrefsky, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Parma, OH
National Provider Identifier
1356373344
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
35066720 Issued in OH
Practice address
6115 Powers Blvd Ste 204
Parma, OH 44129-5469
Phone
(440) 743-8120
Fax
(440) 743-8121
NPI assigned
Jul 7, 2006
Last updated
Jan 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35066720 OH
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 35066720 OH Primary

Addresses

Primary practice location

6115 Powers Blvd Ste 204
Parma, OH 44129-5469

Mailing address

24701 Euclid Ave
Third Floor Billing Services
Euclid, OH 44117-1714
Phone (440) 473-8120

Other identifiers 2

IdentifierTypeStateIssuer
0146809MedicaidOH
130025850OtherOHRAILROAD MEDICARE

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address johnandrefsky@uhps.allscriptsdirect.net
Direct Messaging Address johnandrefsky@uhps.allscriptsdirect.net Health Information Exchange (HIE)
Direct Messaging Address johnandrefsky@uhps.allscriptsdirect.net Health Information Exchange (HIE)

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
I20040316000671 OH Practitioner - Neurology 2567352453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Hahnemann University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6115 Powers Blvd
Suite 204
Parma, OH 44129-5469
Phone (440) 743-8120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
71.97 of 100Reported as group
Quality
53.19
Improvement activities
40
Cost
86.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35066720OHMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
Neurocare Center Inc Neurology Current Accepting new patients
Lifeline Partners of Canton, Inc Past Accepting new patients
University Primary Care Practices Inc Neurology Past Accepting new patients
University Primary Care Practices Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Neurocare Sleep Center Neurology Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients
Summit Neurological Associates, Inc Neurology Past Accepting new patients

Locations

4105 Holiday St NW
Canton, OH 44718
Phone (330) 332-0711

830 S Main St
Ste 4
Orrville, OH 44667

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22081/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jandrefsky37530@ehrdirect.uhhospitals.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1356373344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "THIRD FLOOR BILLING SERVICES",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "440-473-8120",
            "fax_number": "440-473-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 POWERS BLVD STE 204",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295469",
            "telephone_number": "440-743-8120",
            "fax_number": "440-743-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREFSKY",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-01-08",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35066720",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "OH",
            "license": "35066720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146809",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130025850",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johnandrefsky@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "4001 Carrick Dr Ste 170",
            "city": "Medina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442565392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johnandrefsky@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6115 Powers Blvd Ste 204",
            "city": "Parma",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441295469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johnandrefsky@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4001 Carrick Dr Ste 170",
            "city": "Medina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442565392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.