NPIMap

Individual provider Active NPI

John Milan Urbancic, MD

  • Family Medicine Physician
  • Chardon, OH
National Provider Identifier
1457336562
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35071426 Issued in OH
Practice address
13221 Ravenna Rd
Suite 8
Chardon, OH 44024-9047
Phone
(440) 286-6155
Fax
(440) 286-6156
NPI assigned
Dec 12, 2005
Last updated
Nov 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35071426 OH Primary

Addresses

Primary practice location

13221 Ravenna Rd
Suite 8
Chardon, OH 44024-9047

Mailing address

13221 Ravenna Rd
Suite 8
Chardon, OH 44024-9047
Phone (440) 286-6155

Other identifiers 2

IdentifierTypeStateIssuer
080126984OtherOHRAILROAD MEDICARE
2074231MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address johnurbancic@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027000814 OH Practitioner - Family Practice 5395869168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Family Medicine CurrentSince Feb 1, 2017 Accepting new patients
University Primary Care Practices Inc CurrentSince Feb 1, 2017 Accepting new patients
Fairmount Nursing Home Inc Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients

Locations

13221 Ravenna Rd
Ste 8
Chardon, OH 44024
Phone (440) 286-6155

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

Interoperability endpoints

  • Direct secure messaging: johnurbancic@uhps.allscriptsdirect.net
  • Direct secure messaging: jurbancic37167@ehrdirect.uhhospitals.org

Organizations & group practices 5

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1457336562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13221 RAVENNA RD",
            "address_2": "SUITE 8",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249047",
            "telephone_number": "440-286-6155",
            "fax_number": "440-286-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13221 RAVENNA RD",
            "address_2": "SUITE 8",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249047",
            "telephone_number": "440-286-6155",
            "fax_number": "440-286-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBANCIC",
        "first_name": "JOHN",
        "middle_name": "MILAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35071426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080126984",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2074231",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johnurbancic@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "13221 Ravenna Rd",
            "address_2": "Suite 8",
            "city": "Chardon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440249047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

Verify at the official NPI Registry.