NPIMap

Individual provider Active NPI

Darrell Lynnn Grace, D.O.

  • Internal Medicine Physician
  • Fairlawn, OH
National Provider Identifier
1396709697
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34006142OH Issued in OH
Practice address
822 Kumho Dr Ste 202
Fairlawn, OH 44333-5105
Phone
(330) 576-0500
Fax
(330) 576-0467
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34006142OH OH Primary
Hospitalist Physician 208M00000X 34006142OH OH

Addresses

Primary practice location

822 Kumho Dr Ste 202
Fairlawn, OH 44333-5105

Mailing address

822 Kumho Dr Ste 202
Fairlawn, OH 44333-5105
Phone (330) 576-0500

Other identifiers 1

IdentifierTypeStateIssuer
0382401MedicaidOH

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
I20090806000221 OH Practitioner - Internal Medicine 6901959022 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, 252 clinicians

Practice addresses (Care Compare)

5170 Belmont Ave
Youngstown, OH 44505-1022
Phone (330) 759-1080

Hospital & facility affiliations

  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006142OHOHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Jul 1, 2022 Accepting new patients
4M Hospitalist Services, LLC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Nov 16, 2015 Accepting new patients
Ohio Institute of Cardiac Care, Inc Internal Medicine Past Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

29 N Adams St
Akron, OH 44304
Phone (330) 572-7293

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

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

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

5170 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-1080

Interoperability endpoints

  • Direct secure messaging: dgrace20243@nomshealthcare.direct-ci.com

Organizations & group practices 7

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 5

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1396709697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 KUMHO DR STE 202",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443335105",
            "telephone_number": "330-576-0500",
            "fax_number": "330-576-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 KUMHO DR STE 202",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443335105",
            "telephone_number": "330-576-0500",
            "fax_number": "330-576-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "DARRELL",
        "middle_name": "LYNNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34006142OH",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "34006142OH",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0382401",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.