Active NPI
Peter J Erossy, MD
- Internal Medicine Physician
- Westlake, OH
National Provider Identifier
1467558452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 51325
- Practice address
- 26016 Detroit Rd
Suite 7
Westlake, OH 44145-2477 - Phone
- (440) 614-0626
- Fax
- (440) 614-0625
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 51325 | OH | Primary |
Addresses
Primary practice location
26016 Detroit Rd
Suite 7
Westlake, OH 44145-2477
Mailing address
24651 Center Ridge Rd
Suite 350
Westlake, OH 44145-5635
Phone (440) 895-5056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0756883 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191025001521 | OH | Order and Referring Only - Internal Medicine | 8628965142 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51325 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Past | Accepting new patients |
Interoperability endpoints
- peter.erossy@ppc2.eclinicaldirectplus.com
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461715200000",
"number": "1467558452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24651 CENTER RIDGE RD",
"address_2": "SUITE 350",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441455635",
"telephone_number": "440-895-5056",
"fax_number": "440-333-2935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26016 DETROIT RD",
"address_2": "SUITE 7",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441452477",
"telephone_number": "440-614-0626",
"fax_number": "440-614-0625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EROSSY",
"first_name": "PETER",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2016-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "51325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0756883",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.