Individual provider Active NPI

Kelly V. Buchanan, MD

  • Obstetrics & Gynecology Physician
  • Cleveland, OH
National Provider Identifier
1457451577
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35077218B Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-4650
Phone
(800) 223-2273
NPI assigned
Sep 25, 2006
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35077218B OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-4650

Mailing address

PO Box 714328
Columbus, OH 43271-4328
Phone (800) 354-1985

Other identifiers 1

IdentifierTypeStateIssuer
2225103MedicaidOH

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
I20040909000492 OH Practitioner - Obstetrics/Gynecology 1759357817 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35077218BOHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc CurrentSince Aug 7, 2007 Accepting new patients
North East Ohio Group Practice LLC CurrentSince Sep 1, 2018 Accepting new patients
Ohiohealth Corporation CurrentSince Jan 1, 2020 Accepting new patients
Ohiohealth Corporation CurrentSince Jan 1, 2020 Accepting new patients
Ohiohealth Corporation Obstetrics & Gynecology Current Accepting new patients
University Hospitals Medical Group Inc Obstetrics & Gynecology CurrentSince Jun 15, 2019 Accepting new patients
The Cleveland Clinic Foundation CurrentSince May 11, 2022 Accepting new patients
Lake Hospital System, Inc CurrentSince Aug 7, 2007 Accepting new patients
Lake Hospital System Inc Obstetrics & Gynecology Current Accepting new patients
Cleveland Clinic Health System - East Region Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients

Locations

8185 Washington St
Chagrin Falls, OH 44023
Phone (440) 232-6789

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

26900 Cedar Rd
Cleveland, OH 44122
Phone (216) 839-3000

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

11100 Euclid Ave
Cleveland Heights, OH 44106

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

4191 Kelnor Dr
Ste 200
Grove City, OH 43123
Phone (614) 277-4893

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

36001 Euclid Ave
Ste C7
Willoughby, OH 44094
Phone (440) 602-6710

Organizations & group practices 11

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 2

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1457451577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 714328",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432714328",
            "telephone_number": "800-354-1985",
            "fax_number": "440-350-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441954650",
            "telephone_number": "800-223-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "KELLY",
        "middle_name": "V.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35077218B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2225103",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.