Individual provider Active NPI

David Kretch, DPM

  • Podiatrist
  • Rocky River, OH
National Provider Identifier
1386026474
Registry record updated Apr 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003922 Issued in OH
Practice address
2880 Plymouth Ave
Rocky River, OH 44116
Phone
(440) 333-5888
Fax
(440) 333-6766
NPI assigned
Jun 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003922 OH Primary

Addresses

Primary practice location

2880 Plymouth Ave
Rocky River, OH 44116

Mailing address

2880 Plymouth Ave
Rocky River, OH 44116-3209
Phone (440) 333-5888

Other practice location 1

3628 Walnut Hills Ave Ste 100
Beachwood, OH 44122-4484
Phone (216) 381-3600

Other identifiers 1

IdentifierTypeStateIssuer
0361281MedicaidOH

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190820002134 OH Practitioner - Podiatry 7113217787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Foot and Ankle IncGroup PAC ID 4385674530, 5 clinicians

Practice addresses (Care Compare)

2880 Plymouth Ave
Rocky River, OH 44116-3209
Phone (440) 333-5888

Merit-based Incentive Payment System (MIPS)

Final score
86.2 of 100Reported as group
Quality
70.03
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue26
Removal of skin lesions1-10
Removal of nail tissue270
Removal or shaving of skin growth112
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003922OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Foot & Ankle, Inc Podiatrist CurrentSince Sep 1, 2019 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Elevate Foot & Ankle Inc Podiatrist CurrentSince Sep 1, 2019 Accepting new patients
Total Rehab PC PastSince Apr 20, 2018 Accepting new patients

Locations

3628 Walnut Hills Ave
Ste 100
Beachwood, OH 44122
Phone (216) 381-3600

2880 Plymouth Ave
Rocky River, OH 44116
Phone (440) 333-5888

4338 Mayfield Rd
South Euclid, OH 44121
Phone (216) 381-3600

Interoperability endpoints

  • Direct secure messaging: dkretch438250@ehrdirect.uhhospitals.org
  • Direct secure messaging: dkretchdpm252051@direct.ccf.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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745712000000",
    "number": "1386026474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 PLYMOUTH AVE",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163209",
            "telephone_number": "440-333-5888",
            "fax_number": "440-333-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 PLYMOUTH AVE",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "44116",
            "telephone_number": "440-333-5888",
            "fax_number": "440-333-6766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3628 Walnut Hills Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441224484",
            "country_code": "US",
            "telephone_number": "216-381-3600",
            "fax_number": "440-333-6766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRETCH",
        "first_name": "DAVID",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2025-04-27",
        "certification_date": "2025-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361281",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.