Individual provider Active NPI

Patrick G. Convery, MD

  • Orthopaedic Surgery Physician
  • Willoughby, OH
National Provider Identifier
1437230307
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25052111C Issued in OH
Practice address
36060 Euclid Ave Ste 203
Willoughby, OH 44094-4661
Phone
(440) 602-6670
Fax
(440) 602-6671
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25052111C OH Primary

Addresses

Primary practice location

36060 Euclid Ave Ste 203
Willoughby, OH 44094-4661

Mailing address

P.O. Box 714328
Columbus, OH 43271-4328
Phone (440) 354-1985

Other identifiers 1

IdentifierTypeStateIssuer
0607605MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patrick.convery@lhpg.eclinicaldirectplus.com Direct

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
I20080228000781 OH Practitioner - Orthopedic Surgery 7618051681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3808 Pinnacle CT
Willoughby, OH 44094-7885
Phone (440) 743-3000

Hospital & facility affiliations

  • University Hospital Home Care Services, Inc Home health agency, Warrensville HTS, OH, CCN 367424
  • Lake Health Hospital, Concord, OH, CCN 360098
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement15
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25052111COHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
Lake Hospital System Inc Orthopaedic Surgery Current Accepting new patients
University Primary Care Practices Inc Orthopaedic Surgery CurrentSince Mar 1, 2025 Accepting new patients
Lake Hospital System, Inc CurrentSince Dec 1, 2007 Accepting new patients
University Primary Care Practices Inc Orthopaedic Surgery CurrentSince Mar 1, 2025 Accepting new patients
Lake Hospital System, Inc CurrentSince Dec 1, 2007 Accepting new patients
University Hospitals Medical Group Inc Orthopaedic Surgery Past Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

50 Blaine Ave
Ste 2300
Bedford, OH 44146
Phone (216) 383-8500

50 Blaine Ave
Ste 2200
Bedford, OH 44146
Phone (440) 232-5400

3812 Center Rd
#106
Brunswick, OH 44212

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

18599 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 383-7813

29017 Cedar Rd
Lyndhurst, OH 44124
Phone (440) 255-9920

9000 Mentor Ave
Mentor, OH 44060
Phone (440) 255-0800

9000 Mentor Ave
Ste 107
Mentor, OH 44060
Phone (440) 285-5004

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

27100 Chardon Rd
Ste 100P
Richmond Heights, OH 44143
Phone (216) 943-6330

27100 Chardon Rd
#150
Richmond Hts, OH 44143
Phone (440) 347-9929

36060 Euclid Ave
Ste 203
Willoughby, OH 44094
Phone (440) 602-6670

Interoperability endpoints

  • Direct secure messaging: pconvery37423@ehrdirect.uhhospitals.org

Organizations & group practices 8

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 6

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1437230307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 714328",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432714328",
            "telephone_number": "440-354-1985",
            "fax_number": "440-350-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36060 EUCLID AVE STE 203",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944661",
            "telephone_number": "440-602-6670",
            "fax_number": "440-602-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONVERY",
        "first_name": "PATRICK",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "25052111C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0607605",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patrick.convery@lhpg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Baseline West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "36060 Euclid Ave Ste 203",
            "city": "Willoughby",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440944661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

Verify at the official NPI Registry.