Adriatik Kellici, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35094153 Issued in OH

Practice address

38582 Heritage CT
Willoughby, OH 44094-8839

Phone

(216) 375-7303

NPI assigned

Apr 13, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

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 2

Specialty

Internal MedicineAlso: Hospitalist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Health Hospital, Concord, OH, CCN 360098
• Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
• University Hospitals Conneaut Medical Center Hospital, Conneaut, OH, CCN 361308

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akellici219114@ehrdirect.uhhospitals.org

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.

• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  Medicare reassignment Care Compare group NPD
• Community Hospitalist, LLC

  • Hospitalist Physician
  • Lorain, OH
  • NPI 1538236872

  Internal Medicine

  NPD
• Lake Hospital System Inc

  dba Lake Health

  • General Acute Care Hospital
  • Willoughby, OH
  • NPI 1972689172
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lake Hospital System Inc

  dba Lake Health

  • General Acute Care Hospital
  • Willoughby, OH
  • NPI 1972689172
  Care Compare affiliation
• University Hospitals Cleveland Medical Center

  dba Uhcmc

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1043397292
  Care Compare affiliation
• University Hospitals Cleveland Medical Center

  dba University Hospitals Mentor Health Center

  • Multi-Specialty Clinic/Center
  • Mentor, OH
  • NPI 1487770335

  Hospital

  Care Compare affiliation
• University Hospitals Cleveland Medical Center

  dba University Hospitals Westlake Health Center

  • Multi-Specialty Clinic/Center
  • Westlake, OH
  • NPI 1669598082

  Hospital

  Care Compare affiliation
• University Hospitals Conneaut Medical Center

  • Critical Access Hospital
  • Conneaut, OH
  • NPI 1902996119
  Care Compare affiliation
• University Hospitals of Cleveland

  dba UH Case Medical Center

  • Clinic/Center
  • Cleveland, OH
  • NPI 1760673412

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1427291061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38582 HERITAGE CT",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "216-375-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38582 HERITAGE CT",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440948839",
            "telephone_number": "216-375-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLICI",
        "first_name": "ADRIATIK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35094153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Keck, LSW
• David J Keep, MD
• Lucas Keinsley
• Jennifer Keller
• Nancy J Kelley, CNP
• Brandee Kelly
• Amber Kelsey
• Deborah Kendig, MS,OTR/L
• Kathleen Kennedy, LSW
• Kent a. Caserta, DDS., Inc.

• Internal Medicine Physician in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.