Individual provider Active NPI

Emillee Vinogradsky, MD

  • Pediatrics Physician
  • Cleveland, OH
National Provider Identifier
1437952819
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
57.258474 Issued in OH
Practice address
2101 Adelbert Rd
Cleveland, OH 44106-2624
Phone
(216) 844-5437
NPI assigned
Mar 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 57.258474 OH Primary

Addresses

Primary practice location

2101 Adelbert Rd
Cleveland, OH 44106-2624

Mailing address

435 Silver Creek TRL
Kernersville, NC 27284-6509
Phone (480) 272-0198

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
I20250602002582 OH Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3072022003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.258474OHMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1437952819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SILVER CREEK TRL",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272846509",
            "telephone_number": "480-272-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ADELBERT RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062624",
            "telephone_number": "216-844-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINOGRADSKY",
        "first_name": "EMILLEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "57.258474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.