Individual provider Active NPI

Duane Joseph Ehredt Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Cleveland, OH
National Provider Identifier
1396024477
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003637 Issued in OH
Practice address
7000 Euclid Ave
Cleveland, OH 44103-4014
Phone
(216) 241-8654
Fax
(216) 721-5534
NPI assigned
Aug 8, 2011
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine Podiatrist 213ES0000X 36.003637 OH
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003637 OH Primary

Addresses

Primary practice location

7000 Euclid Ave
Cleveland, OH 44103-4014

Mailing address

6000 Rockside Woods Blvd N
Independence, OH 44131-2330
Phone (216) 231-5612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140710000369 OH Practitioner - Podiatry 2860617685 Reassigns benefits to 2 organizations
I20250411000840 PA Practitioner - Podiatry 2860617685 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.003637OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Alliance CurrentSince Aug 1, 2024 Accepting new patients
Care Alliance CurrentSince Aug 1, 2024 Accepting new patients
Outreach Professional Services, Inc CurrentSince May 1, 2018 Accepting new patients
Outreach Professional Services Inc CurrentSince May 1, 2018 Accepting new patients
Ksu Foot & Ankle Clinic Sports Medicine CurrentSince Nov 1, 2015 Accepting new patients
Clinical Practice of Lecom Institute for Successful Living CurrentSince Apr 1, 2025 Accepting new patients
Clinical Practice of Lecom Institute for Successful Living Foot & Ankle Surgery CurrentSince Apr 1, 2025 Accepting new patients
Care Alliance Current Accepting new patients
Clinical Practice of Lecom Institute for Successful Living Current Accepting new patients

Locations

1530 Saint Clair Ave NE
Cleveland, OH 44114
Phone (216) 535-9100

2322 E 22nd St
Ste 201
Cleveland, OH 44115
Phone (216) 241-8654

2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444

2916 Central Ave
Cleveland, OH 44115
Phone (216) 535-9100

6001 Woodland Ave
Cleveland, OH 44104
Phone (216) 431-2018

7000 Euclid Ave
Cleveland, OH 44103
Phone (216) 231-5612

7000 Euclid Ave
Ste 101
Cleveland, OH 44103
Phone (216) 231-5612

6000 Rockside Woods Blvd N
Independence, OH 44131
Phone (216) 231-5612

5401 Peach St
Ste 3400
Erie, PA 16509
Phone (814) 868-2200

5535 Peach St
Erie, PA 16509
Phone (814) 868-3488

9040 Wattsburg Rd
Erie, PA 16509
Phone (814) 844-2858

Interoperability endpoints

  • Direct secure messaging: dehredt35861@ehrdirect.uhhospitals.org

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1396024477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 ROCKSIDE WOODS BLVD N",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312330",
            "telephone_number": "216-231-5612",
            "fax_number": "216-721-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034014",
            "telephone_number": "216-241-8654",
            "fax_number": "216-721-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHREDT",
        "first_name": "DUANE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-08",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "OH",
            "license": "36.003637",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.