Active NPI
Patrick G. Convery, MD
- Orthopaedic Surgery Physician
- Willoughby, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 25052111C
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0607605 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
- Lake Health
- Uh Cleveland Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 15 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25052111C | OH | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients |
| Lake Hospital System, Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Lake Hospital System, Inc | Current | 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
- 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.
-
- Gastroenterology Physician
- Mentor, OH
- NPI 1003935339
-
- Family Medicine Physician
- Middlefield, OH
- NPI 1952339996
Orthopaedic Surgery
-
- Urgent Care Clinic/Center
- Madison, OH
- NPI 1134189376
-
- Urgent Care Clinic/Center
- Chardon, OH
- NPI 1689634966
-
- Orthopaedic Surgery Physician
- Sheffield Village, OH
- NPI 1114054384
-
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Orthopaedic Surgery
-
- Pediatrics Physician
- Twinsburg, OH
- NPI 1326166752
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Willoughby, OH
- NPI 1972689172
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
-
- Home Health Agency
- Warrensville Heights, OH
- NPI 1417940826
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.