Erick Roman Kauffman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35078036K Issued in OH

Practice address

2358 Professor Ave
Cleveland, OH 44113-4630

Phone

(216) 334-2800

Fax

(216) 589-0017

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 8

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

Specialty

Family Practice

Education

University of Pittsburgh School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neighborhood Health Care IncorporatedGroup PAC ID 2668466012, 68 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lutheran Hospital Hospital, Cleveland, OH, CCN 360087

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ekauffman23143@direct.ochin.org

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Neighborhood Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1306268677

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Neighborhood Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Lakewood, OH
  • NPI 1669146908

  Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Neighborhood Health Care Incorporated

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1720135304
  Medicare reassignment Care Compare group NPD
• Neighborhood Health Care Incorporated

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1952568586
  NPD
• Lutheran Hospital

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1194763045
  NPD (past)
• Neighborhood Health Care Incorporated

  • Primary Care Clinic/Center
  • Lakewood, OH
  • NPI 1265902324
  NPD (past)
• Neighborhood Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1295786267
  NPD (past)
• Neighborhood Health Care Incorporated

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1326462219
  NPD (past)
• Neighborhood Health Care Incorporated

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1568014173
  NPD (past)
• Neighborhood Health Care Incorporated

  • Clinic/Center
  • Cleveland, OH
  • NPI 1730563891
  NPD (past)

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

• Lutheran Hospital

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1194763045
  Care Compare affiliation

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1447201256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2981 BERKSHIRE RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441182474",
            "telephone_number": "216-321-9548",
            "fax_number": "216-901-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 PROFESSOR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441134630",
            "telephone_number": "216-334-2800",
            "fax_number": "216-589-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "ERICK",
        "middle_name": "ROMAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35078036K",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00037575",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341300581044",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APEX",
            "identifier": "F78036",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "735725",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "353965",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000129991",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7235143",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMA",
            "identifier": "F78036",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2233854",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irene L Katzan, MD
• Crystal Ann Katzenmeyer-White, APRN-CNP, AGACNP-BC
• David Katzianer, MD
• Amanda Michelle Kaucher, CAA
• Lori Ann Kauchuk, L.S.W
• Jeremy David Kauffman, M.D.
• Kelley Kauffman, CNP, MSN
• Amy Rose Kaufman
• Bram R Kaufman, MD
• Elizabeth S Kaufman, MD

• Family Medicine Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.