NPIMap

Individual provider Active NPI

Avi S Marocco, MD

  • Internal Medicine Physician
  • Garfield HTS, OH
National Provider Identifier
1457343584
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35077929M Issued in OH
Practice address
12000 McCracken Road
Suite 550
Garfield HTS, OH 44125
Phone
(216) 587-4600
Fax
(216) 663-0666
NPI assigned
Aug 16, 2005
Last updated
Sep 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35077929 OH
Internal Medicine Physician 207R00000X 35077929M OH Primary

Addresses

Primary practice location

12000 McCracken Road
Suite 550
Garfield HTS, OH 44125

Mailing address

12000 McCracken Rd.
Suite 550
Garfield HTS, OH 44125
Phone (216) 587-4600

Other identifiers 1

IdentifierTypeStateIssuer
2326987MedicaidOH

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
I20060504000285 OH Practitioner - Internal Medicine 2466436589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

12300 McCracken Rd
Garfield Heights, OH 44125-2914

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35077929MOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Mar 28, 2016 Accepting new patients
Marymount Primary Care Services, Inc. Past Accepting new patients
Marymount Primary Care Services Inc Past Accepting new patients
Comprehensive Medical Services LLC Past Accepting new patients
Marymount Hospital Inc Past Accepting new patients

Locations

36901 American Way
Avon, OH 44011
Phone (440) 333-5460

2001 E Royalton Rd
Broadview Hts, OH 44147
Phone (440) 717-5800

8254 Mayfield Rd
Chesterland, OH 44026
Phone (440) 729-0100

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

12000 McCracken Rd
Ste 108
Garfield Hts, OH 44125
Phone (216) 475-1551

12000 McCracken Rd
Ste 550
Garfield Hts, OH 44125
Phone (216) 581-2580

12000 McCracken Rd
Ste 558
Garfield Hts, OH 44125
Phone (216) 581-8369

850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737

Interoperability endpoints

  • Direct secure messaging: amarocco92298@direct.ccf.org

Organizations & group practices 6

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 7

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1457343584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN RD.",
            "address_2": "SUITE 550",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "44125",
            "telephone_number": "216-587-4600",
            "fax_number": "216-663-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN ROAD",
            "address_2": "SUITE 550",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "44125",
            "telephone_number": "216-587-4600",
            "fax_number": "216-663-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROCCO",
        "first_name": "AVI",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35077929",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35077929M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2326987",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield HTS, OH

Sources for this page

Verify at the official NPI Registry.