Individual provider Active NPI

Haley Durdella

  • Emergency Medicine Physician
  • Cleveland, OH
National Provider Identifier
1417418997
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.015391 Issued in OH
Practice address
11100 Euclid Ave
Cleveland, OH 44106
Phone
(216) 844-3610
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.015391 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106

Mailing address

11100 Euclid Ave
Cleveland, OH 44106-1716

Other practice location 1

11100 Euclid Ave
Cleveland, OH 44106
Phone (216) 844-3610

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220708001978 OH Practitioner - Emergency Medicine 2961736814 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio University, College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ues Geauga, LLCGroup PAC ID 6406876002, 16 clinicians

Practice addresses (Care Compare)

13207 Ravenna Rd
Chardon, OH 44024-7032
Phone (240) 686-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.38 of 100Reported as group
Quality
79.57
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.015391OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magis Emergency Medicine LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Ues Geauga, LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Ues Ahuja LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Emergency Medicine Physicians of Lake County LTD Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Ues Geneva LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Physicians Link Center LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
University Hospitals Medical Group Inc Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients

Locations

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

44 Blaine Ave
Cleveland, OH 44146
Phone (330) 528-3593

11100 Euclid Ave
#B517
Cleveland, OH 44106
Phone (216) 844-3610

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Conneaut, OH 44030
Phone (216) 844-3777

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

870 W Main St
Geneva, OH 44041
Phone (440) 415-0258

32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

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

27100 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 585-6000

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Interoperability endpoints

  • Direct secure messaging: hdurdella38147@ehrdirect.uhhospitals.org

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 1

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1417418997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44106",
            "telephone_number": "216-844-3610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44106",
            "country_code": "US",
            "telephone_number": "216-844-3610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURDELLA",
        "first_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.015391",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.