Organization Active NPI

James G Epstein MD Inc

  • Internal Medicine Physician
  • Middleburg Heights, OH
National Provider Identifier
1396846358
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35049225E Issued in OH
Legal business name
JAMES G EPSTEIN MD INC
Practice address
18660 Bagley Rd
Ste 400B
Middleburg Heights, OH 44130-8455
Phone
(440) 239-8737
Fax
(440) 239-7811
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Authorized official

Name
Ms. Renee J. Epstein
Title
Practice Administrator
Phone
(440) 239-8737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35049225E OH Primary

Addresses

Primary practice location

18660 Bagley Rd
Ste 400B
Middleburg Heights, OH 44130-8455

Mailing address

PO Box 241217
Mayfield HTS,, OH 44124-8817
Phone (440) 239-8737

Other identifiers 2

IdentifierTypeStateIssuer
DG3910OtherOHRAILROAD MEDICARE GROUP
36D1000944OtherOHCLIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091208000479 OH Part B Supplier - Clinic/Group Practice 1153460928 Receives reassigned benefits from 1 practitioner
Practice locations: Middleburg HTS, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1000944James G Epstein MD Inc18660 Bagley Road BLDG 2 Suite 400, Middleburg Heights, OH 44130Provider-performed microscopyJun 25, 2028

National Provider Directory

National Provider Directory

Locations

18660 Bagley Rd
Ste 400B
Middleburg Heights, OH 44130
Phone (440) 239-8737

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1396846358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241217",
            "city": "MAYFIELD HTS,",
            "state": "OH",
            "postal_code": "441248817",
            "telephone_number": "440-239-8737",
            "fax_number": "440-239-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD",
            "address_2": "STE 400B",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308455",
            "telephone_number": "440-239-8737",
            "fax_number": "440-239-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES G EPSTEIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "440-239-8737",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35049225E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DG3910",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "36D1000944",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.