Individual provider Active NPI

John Moore Albert V, M.D.

  • Anesthesiology Physician
  • Cleveland, OH
National Provider Identifier
1417212085
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35.125348 Issued in OH
Practice address
248 Euclid Avenue Apartment #604
Cleveland, OH 44114
Phone
(810) 625-6643
NPI assigned
Jul 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35.125348 OH Primary

Addresses

Primary practice location

248 Euclid Avenue Apartment #604
Cleveland, OH 44114

Mailing address

248 Euclid Avenue Apartment #604
Cleveland, OH 44114
Phone (810) 625-6643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190214000139 WI Practitioner - Anesthesiology 2365678182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Michigan Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anex, S.C.Group PAC ID 4486540556, 38 clinicians

Practice addresses (Care Compare)

725 S American Ave
Waukesha, WI 53188-5301
Phone (262) 544-2011

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anex, S.C. Anesthesiology CurrentSince Oct 1, 2020 Accepting new patients
The Metrohealth System Current Accepting new patients

Locations

225 S Executive Dr
Brookfield, WI 53005
Phone (262) 787-4026

Bin 88836
Milwaukee, WI 53288

240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900

791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251

1111 Delafield St
Waukesha, WI 53188
Phone (262) 542-0074

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

1111 Delafield St
Ste 100
Waukesha, WI 53188
Phone (262) 928-4300

Interoperability endpoints

  • Direct secure messaging: jalbert54836@direct.metrohealth.org

Organizations & group practices 2

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 3

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1417212085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 EUCLID AVENUE APARTMENT #604",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44114",
            "telephone_number": "810-625-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 EUCLID AVENUE APARTMENT #604",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44114",
            "telephone_number": "810-625-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERT",
        "first_name": "JOHN",
        "middle_name": "MOORE",
        "name_prefix": "Dr.",
        "name_suffix": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.125348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.