Individual provider Active NPI

Gloria J Koomson, M.D

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1376816330
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35133932 Issued in OH
Practice address
14243 Triskett Rd
Apt 203K
Cleveland, OH 44111-2329
Phone
(216) 200-1791
NPI assigned
Feb 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01086745A IN
Hospitalist Physician 208M00000X A175239 CA
Hospitalist Physician 208M00000X 01086745A IN
Internal Medicine Physician 207R00000X 35133932 OH Primary

Addresses

Primary practice location

14243 Triskett Rd
Apt 203K
Cleveland, OH 44111-2329

Mailing address

2082 Windham St NE Ste 101
Canton, OH 44721-2528
Phone (330) 361-0329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181205000624 OH Practitioner - HospitalistPractitioner - Internal Medicine 2961711890 Reassigns benefits to 2 organizations
I20211022000135 IN Practitioner - Hospitalist 2961711890 Reassigns benefits to 1 organization
I20230928002529 CA Practitioner - HospitalistPractitioner - Internal Medicine 2961711890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, shared by 11 NPIs, 1,045 clinicians

Practice addresses (Care Compare)

1 Marcela Dr
Willits, CA 95490-5769
Phone (707) 459-6801

1606 N 7TH St
Vituity
Terre Haute, IN 47804-2706
Phone (812) 238-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35133932OHMDInternal Medicine Physician
A175239CAMDHospitalist Physician
01086745AINMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Union Hospital Inc. Current Accepting new patients
Galen Inpatient Physicians, PC Internal Medicine CurrentSince Nov 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Sep 17, 2023 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
Willglowe Health Services, Inc Internal Medicine Current Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Nov 1, 2021 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

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

Interoperability endpoints

  • Direct secure messaging: gkoomson@unionhealth.cernerdirect.com

Organizations & group practices 8

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 4

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": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1376816330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2082 WINDHAM ST NE STE 101",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212528",
            "telephone_number": "330-361-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14243 TRISKETT RD",
            "address_2": "APT 203K",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441112329",
            "telephone_number": "216-200-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOMSON",
        "first_name": "GLORIA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01086745A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A175239",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01086745A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35133932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.