Active NPI
David Gutman, M.D.
- Internal Medicine Physician
- Beachwood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-08-3362-G
- Practice address
- 25200 Chagrin Blvd Ste 109
Beachwood, OH 44122-5681 - Phone
- (216) 772-4653
- NPI assigned
- Mar 10, 2006
- Last updated
- Apr 13, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-08-3362-G | OH | Primary |
Addresses
Primary practice location
25200 Chagrin Blvd Ste 109
Beachwood, OH 44122-5681
Mailing address
2361 Beachwood Blvd
Beachwood, OH 44122-1474
Phone (216) 291-2760
Other practice location 1
2660 W Market St Ste 250
Fairlawn, OH 44333-4210
Phone (216) 772-4653
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2497132 | Medicaid | OH |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
25200 Chagrin Blvd
Suite 109
Beachwood, OH 44122-5681
Phone (216) 772-4653
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Hemorrhoid Specialists, Inc. | Internal Medicine | Current | Accepting new patients |
| Lake Erie Medical Group, Inc. | Past | Accepting new patients | |
| Lake Erie Seniors, Inc. | Past | Accepting new patients | |
| Uhhs Bedford | Internal Medicine | Past | Accepting new patients |
Locations
25200 Chagrin Blvd
Ste 109
Beachwood, OH 44122
Phone (216) 772-4653
2660 W Market St
Ste 250
Fairlawn, OH 44333
Phone (216) 772-4653
8224 Mentor Ave
Ste 132
Mentor, OH 44060
Phone (440) 290-8956
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Beachwood, OH
- NPI 1619035532
-
- Specialist
- Cleveland, OH
- NPI 1124111992
-
- Specialist
- Cleveland, OH
- NPI 1386735108
-
- Internal Medicine Physician
- Bedford, OH
- NPI 1811933419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586736000000",
"number": "1396713749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2361 BEACHWOOD BLVD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441221474",
"telephone_number": "216-291-2760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25200 CHAGRIN BLVD STE 109",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225681",
"telephone_number": "216-772-4653"
}
],
"practiceLocations": [
{
"address_1": "2660 W Market St Ste 250",
"address_purpose": "LOCATION",
"city": "Fairlawn",
"state": "OH",
"postal_code": "443334210",
"country_code": "US",
"telephone_number": "216-772-4653",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTMAN",
"first_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-08-3362-G",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2497132",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.