NPIMap

Individual provider Active NPI

Adrian Ieraci, DO

  • Family Medicine Physician
  • North Lima, OH
National Provider Identifier
1376522326
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34 007058 Issued in OH
Practice address
9471 Market St Ste a
North Lima, OH 44452-8702
Phone
(330) 726-7100
Fax
(330) 758-0347
NPI assigned
Jan 10, 2006
Last updated
May 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34 007058 OH Primary

Addresses

Primary practice location

9471 Market St Ste a
North Lima, OH 44452-8702

Mailing address

9471 Market St Ste a
North Lima, OH 44452-8702
Phone (330) 726-7100

Other practice location 1

80 Marwood Cir
Boardman, OH 44512-6249
Phone (330) 758-2346

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
I20050202001105 OH Practitioner - Family Practice 4981655305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Youngstown, LLCGroup PAC ID 9234318270, 116 clinicians

Practice addresses (Care Compare)

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-2182

9471 Market St
Suite a
North Lima, OH 44452-8702
Phone (330) 726-7100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34 007058OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown, LLC Family Medicine Current Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 14, 2024 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 14, 2024 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince May 29, 2016 Accepting new patients
Dominic F Conti DO LTD Family Medicine Past Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

9471 Market St
Ste A
North Lima, OH 44452
Phone (330) 726-7100

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

80 Marwood Cir
Youngstown, OH 44512
Phone (330) 729-8972

Interoperability endpoints

  • Direct secure messaging: a.ieraci@bacc4197.micromddirect.com
  • Direct secure messaging: aieraci35202@direct.bsmhealth.org

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

Hospital & facility affiliations 9

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1376522326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9471 MARKET ST STE A",
            "city": "NORTH LIMA",
            "state": "OH",
            "postal_code": "444528702",
            "telephone_number": "330-726-7100",
            "fax_number": "330-758-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9471 MARKET ST STE A",
            "city": "NORTH LIMA",
            "state": "OH",
            "postal_code": "444528702",
            "telephone_number": "330-726-7100",
            "fax_number": "330-758-0347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Marwood Cir",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445126249",
            "country_code": "US",
            "telephone_number": "330-758-2346",
            "fax_number": "330-758-8698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IERACI",
        "first_name": "ADRIAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34 007058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Lima, OH

Sources for this page

Verify at the official NPI Registry.