Individual provider Active NPI

Michael Yerukhim, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Middleburg Heights, OH
National Provider Identifier
1457514762
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
35124519 Issued in OH
Practice address
7215 Old Oak Blvd
Suite A414
Middleburg Heights, OH 44130-3340
Phone
(440) 816-2776
NPI assigned
Jul 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 35124519 OH Primary

Addresses

Primary practice location

7215 Old Oak Blvd
Suite A414
Middleburg Heights, OH 44130-3340

Mailing address

7215 Old Oak Blvd
Ste A414
Middleburg Heights, OH 44130-3377
Phone (216) 798-3299

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
I20141007002840 OH Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 9931322716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Michael Yerukhim MD LLCGroup PAC ID 9830583582, 2 clinicians

Practice addresses (Care Compare)

7215 Old Oak Blvd
Suite A414
Middleburg Heights, OH 44130-3377
Phone (440) 816-2776

Hospital & facility affiliations

  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155
  • Fairview Hospital Hospital, Cleveland, OH, CCN 360077
  • Uh St John Medical Center Hospital, Westlake, OH, CCN 360123
  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

Merit-based Incentive Payment System (MIPS)

Final score
95.5 of 100Reported as individual
Quality
100
Promoting interoperability
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35124519OHMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Yerukhim, MD LLC Otolaryngology/Facial Plastic Surgery CurrentSince Jun 30, 2019 Accepting new patients

Locations

7215 Old Oak Blvd
Ste A414
Middleburg Heights, OH 44130
Phone (440) 816-2776

Interoperability endpoints

  • Direct secure messaging: myerukhim37574@ehrdirect.uhhospitals.org
  • Direct secure messaging: michael.yerukhim@mymdllc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DHDIBD/Endpoint/DHDIBD

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1457514762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 OLD OAK BLVD",
            "address_2": "STE A414",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303377",
            "telephone_number": "216-798-3299",
            "fax_number": "440-816-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 OLD OAK BLVD",
            "address_2": "SUITE A414",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303340",
            "telephone_number": "440-816-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERUKHIM",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "OH",
            "license": "35124519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.