Individual provider Active NPI

Lutul Dashaun Farrow, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Cleveland, OH
National Provider Identifier
1366653610
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
35086437 Issued in OH
Practice address
9500 Euclid Avenue
A41
Cleveland, OH 44195
Phone
(216) 444-9507
Fax
(216) 445-7362
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35086437 OH
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 35086437 OH Primary

Addresses

Primary practice location

9500 Euclid Avenue
A41
Cleveland, OH 44195

Mailing address

3915 Orchard Rd
Cleveland Heights, OH 44121-2411
Phone (216) 382-9853

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
I20110929000287 OH Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 6507931466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

12300 McCracken Rd
Garfield Heights, OH 44125-2914

16761 Southpark Ctr
Strongsville, OH 44136-9302
Phone (440) 878-2500

17840 Bagley Rd
Middleburg Heights, OH 44130-3401
Phone (440) 531-6000

5555 Transportation Blvd
Garfield Heights, OH 44125-5371
Phone (216) 518-3435

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35086437OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Aug 23, 2011 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

9500 Euclid Ave
#A41
Cleveland, OH 44195
Phone (216) 444-2744

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

9300 Euclid Ave
Cleveland, OH 44195
Phone (216) 444-2892

5555 Transportation Blvd
Garfield Hts, OH 44125
Phone (216) 518-3444

17840 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 234-8500

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

Interoperability endpoints

  • Direct secure messaging: lfarrow53879@direct.ccf.org

Organizations & group practices 3

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 2

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1366653610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 ORCHARD RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441212411",
            "telephone_number": "216-382-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVENUE",
            "address_2": "A41",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44195",
            "telephone_number": "216-444-9507",
            "fax_number": "216-445-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARROW",
        "first_name": "LUTUL",
        "middle_name": "DASHAUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35086437",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OH",
            "license": "35086437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.