Active NPI
Erin Hazel Penn, M.D.
- Rheumatology Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 35.139010
- Practice address
- Cleveland Clinic 9500 Euclid Avenue
Cleveland, OH 44195-6110 - Phone
- (216) 444-5257
- NPI assigned
- Jun 14, 2014
- Last updated
- Oct 14, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 259448 | MA | |
| Rheumatology Physician | 207RR0500X | 35.139010 | OH | Primary |
Addresses
Primary practice location
Cleveland Clinic 9500 Euclid Avenue
Cleveland, OH 44195-6110
Mailing address
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Other practice location 1
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
66 Middlebush Rd
Suite 302
Wappingers Falls, NY 12590-4076
Phone (845) 790-1393
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 63.01
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice PC | Internal Medicine | Current | Accepting new patients |
| Health Quest Medical Practice, PC | Current | Accepting new patients |
Locations
159 Barnegat Rd
Fl 2
Poughkeepsie, NY 12601
Phone (845) 452-9800
45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001
66 Middlebush Rd
Ste 302
Wappingers Falls, NY 12590
Phone (845) 790-1380
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
-
- Diagnostic Radiology Physician
- Kingston, NY
- NPI 1558906610
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rhinebeck, NY
- NPI 1124072715
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
dba Vassar Diagnostics
- Clinical Medical Laboratory
- Poughkeepsie, NY
- NPI 1780052514
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1356755672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156110",
"telephone_number": "617-732-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CLEVELAND CLINIC 9500 EUCLID AVENUE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441956110",
"telephone_number": "216-444-5257"
}
],
"practiceLocations": [
{
"address_1": "75 Francis St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021156110",
"country_code": "US",
"telephone_number": "617-732-5500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENN",
"first_name": "ERIN",
"middle_name": "HAZEL",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-14",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "259448",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "OH",
"license": "35.139010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.