Individual provider Active NPI

William Fikter, M.D.

  • Psychiatry Physician
  • Chagrin Falls, OH
National Provider Identifier
1366468720
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.063299 Issued in OH
Practice address
17747 Chillicothe Rd
Suite 105
Chagrin Falls, OH 44023-4739
Phone
(440) 543-8880
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.063299 OH Primary

Addresses

Primary practice location

17747 Chillicothe Rd
Suite 105
Chagrin Falls, OH 44023-4739

Mailing address

17747 Chillicothe Rd
Suite 105
Chagrin Falls, OH 44023-4739
Phone (440) 543-8880

Other practice location 1

7232 Justin Way
Mentor, OH 44060-4739
Phone (440) 578-8200

Other identifiers 2

IdentifierTypeStateIssuer
000000136790OtherOHANTHEM BLUE CROSS PIN
0147004MedicaidOH

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
I20071211000395 OH Practitioner - Psychiatry 6800985052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Northeastern Ohio University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Counseling Center, Inc.Group PAC ID 6901995158, 2 clinicians

Practice addresses (Care Compare)

17747 Chillicothe Rd
Suite 105
Chagrin Falls, OH 44023-4765
Phone (440) 543-8880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.063299OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Health, Inc CurrentSince Jul 19, 2007 Accepting new patients
Signature Health Inc CurrentSince Jul 19, 2007 Accepting new patients
Signature Health, Inc. Current Accepting new patients
Genesis Counseling Center, Inc. Psychiatry CurrentSince Feb 17, 2010 Accepting new patients

Locations

17747 Chillicothe Rd
Ste 105
Chagrin Falls, OH 44023
Phone (440) 453-8880

17747 Chillicothe Rd
Ste 202
Chagrin Falls, OH 44023
Phone (440) 543-8880

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

38876 Mentor Ave
Willoughby, OH 44094
Phone (440) 954-3333

38882 Mentor Ave
Willoughby, OH 44094

Interoperability endpoints

  • Direct secure messaging: wfikter327442@direct.ochin.org

Organizations & group practices 4

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1366468720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17747 CHILLICOTHE RD",
            "address_2": "SUITE 105",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234739",
            "telephone_number": "440-543-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17747 CHILLICOTHE RD",
            "address_2": "SUITE 105",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234739",
            "telephone_number": "440-543-8880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7232 Justin Way",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440604739",
            "country_code": "US",
            "telephone_number": "440-578-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIKTER",
        "first_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.063299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS PIN",
            "identifier": "000000136790",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0147004",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

Verify at the official NPI Registry.