Individual provider Active NPI

Debabrata Ghosh, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Elyria, OH
National Provider Identifier
1356446595
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
356083532 Issued in OH
Practice address
673 E River St
Elyria, OH 44035-5935
Phone
(440) 323-6422
Fax
(440) 322-5574
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 35.083532 OH
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 308919 NY
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 356083532 OH Primary

Addresses

Primary practice location

673 E River St
Elyria, OH 44035-5935

Mailing address

673 E River St
Elyria, OH 44035-5935
Phone (440) 323-6422

Other practice location 1

700 US Highway 46 Ste 420
Fairfield, NJ 07004-1532
Phone (973) 882-3456

Other identifiers 1

IdentifierTypeStateIssuer
2629114MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CT, NY, NJ, AL, FL, DC, GA, SC, PA, NC11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
I20060406000043 OH Practitioner - Neurology 4789693599 Reassigns benefits to 2 organizations
I20240731003756 CT Practitioner - Neurology 4789693599 Reassigns benefits to 1 organization
I20240731003985 NY Practitioner - Neurology 4789693599 Reassigns benefits to 1 organization
I20240805000518 NJ Practitioner - Neurology 4789693599 Reassigns benefits to 1 organization
I20250319002470 AL Practitioner - Neurology 4789693599 Reassigns benefits to 1 organization
I20250402003647 FL Practitioner - Neurology 4789693599 Reassigns benefits to 1 organization
I20250408002001 DC Practitioner - Neurology 4789693599 Reassigns benefits to 1 organization
I20250509002756 GA Practitioner - Neurology 4789693599 Reassigns benefits to 1 organization
I20250717004506 SC Practitioner - Neurology 4789693599 Reassigns benefits to 1 organization
I20250926000086 PA Practitioner - Neurology 4789693599 Reassigns benefits to 1 organization
I20251226000799 NC Practitioner - Neurology 4789693599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurophysiologic Interpretive Specialists LLCGroup PAC ID 5496933657, 11 clinicians
Neurophysiologic Interpretive Medicine PLLCGroup PAC ID 2567617616, 12 clinicians
Neuroshield Network SE LLCGroup PAC ID 7719243492, 10 clinicians
Neurology Center IncGroup PAC ID 8325176522, 3 clinicians

Practice addresses (Care Compare)

100 Retreat Ave
Suite 302
Hartford, CT 06106-2528
Phone (973) 882-3456

101 Hospital Rd
Patchogue, NY 11772-4870
Phone (631) 654-7100

1304 Sunset Blvd
West Columbia, SC 29169-5914
Phone (973) 882-3456

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (973) 882-3456

201 14TH St SW
Largo, FL 33770-3133
Phone (973) 882-3456

3201 Edwards Mill Rd
Suite 141 485
Raleigh, NC 27612-5385
Phone (888) 329-0807

400 W Peachtree St NW
Atlanta, GA 30308-3536
Phone (888) 329-0807

673 E River St
Elyria, OH 44035-5935
Phone (440) 323-6422

700 US Hwy 46
Suite 420
Fairfield, NJ 07004-1532
Phone (973) 882-3456

821 Huntingdon Pike
Huntingdon Valley, PA 19006-8371
Phone (973) 882-3456

Hospital & facility affiliations

  • Westchester Medical Center Hospital, Valhalla, NY, CCN 330234
  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304
  • Jack Hughston Memorial Hospital Hospital, Phenix City, AL, CCN 010168
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94512SCMDInternal Medicine Physician
356083532OHMDNeurology with Special Qualifications in Child Neurology Physician
35.083532OHMDGeneral Practice Physician
308919NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Center Inc Neurology With Special Qualifications in Child Neurology CurrentSince Jun 1, 2019 Accepting new patients
Neurophysiologic Interpretive Specialists LLC CurrentSince Jul 1, 2024 Accepting new patients
Neurophysiologic Interpretive Medicine PLLC CurrentSince Jul 1, 2024 Accepting new patients
Signify Health, LLC General Practice CurrentSince Mar 1, 2022 Accepting new patients
Neuroshield Network SE LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

100 Retreat Ave
Ste 302
Hartford, CT 06106
Phone (860) 266-1845

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

400 W Peachtree St NW
Ste 400
Atlanta, GA 30308

1330 Piccard Dr
Ste 102
Rockville, MD 20850
Phone (301) 208-7350

3201 Edwards Mill Rd
Ste 141485
Raleigh, NC 27612

700 US Highway 46
Ste 420
Fairfield, NJ 07004

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

673 E River St
Elyria, OH 44035
Phone (440) 322-0872

821 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 938-3413

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1304 Sunset Blvd
West Columbia, SC 29169
Phone (803) 594-3300

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: dghosh814414@direct.shands.ufl.edu

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 11

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1356446595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 E RIVER ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355935",
            "telephone_number": "440-323-6422",
            "fax_number": "440-322-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 E RIVER ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355935",
            "telephone_number": "440-323-6422",
            "fax_number": "440-322-5574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 US Highway 46 Ste 420",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "NJ",
            "postal_code": "070041532",
            "country_code": "US",
            "telephone_number": "973-882-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOSH",
        "first_name": "DEBABRATA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35.083532",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "308919",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "OH",
            "license": "356083532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2629114",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.