David Adam Axelrod, MD
Individual provider Active NPI Transplant Surgery Physician · Iowa City, IA
NPI 1477574820 · NPPES record last updated Sep 14, 2018
Key facts
- NPI
- 1477574820
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Transplant Surgery Physician 204F00000X
- License
- MD-45522 (IA)
- Practice address
- 200 Hawkins Dr
Iowa City, IA 52242 - Phone
- (319) 356-1334
- Fax
- (319) 356-2381
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Duke University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Hospitals Medical Group Inc
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000
Hospital & facility affiliations
- University Hospital Home Care Services, Inc
- Uh Cleveland Medical Center
- Parma Community General Hospital
- University Hospitals Ahuja Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240923002146 | OH | Practitioner - General Surgery | 1355379132 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Group Inc | Surgery | Current |
Accepting new patients |
| University Hospitals Regional Practices LLC | Past | Accepting new patients | |
| University Hospitals Cleveland Medical Center | Past | Accepting new patients |
Locations
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
11100 Euclid Ave
Cleveland Heights, OH 44106
Interoperability endpoints
- daxelrod586473@ehrdirect.uhhospitals.org
- daxelrod147756@uihcdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | 12774 | NH | |
| Surgery Physician | 208600000X | 12774 | NH | |
| Surgical Critical Care Physician | 2086S0102X | 12774 | NH | |
| Surgical Critical Care Physician | 2086S0102X | MD-45522 | IA | |
| Transplant Surgery Physician | 204F00000X | MD-45522 | IA | Yes |
Addresses
Primary practice location
200 Hawkins Dr
Iowa City, IA 52242
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1334
Other practice location 1
1 Medical Center Dr
Department of Transplant Surgery
Lebanon, NH 03756-1000
Phone (603) 653-3931
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3072491 | Medicaid | NH | |
| 1011731 | Medicaid | VT |
Other providers in Iowa City, IA
- Kailynn Jaide Avis
- Awakening Substance Abuse & Behavioral Health
- Mohad Awan
- Temitope Modupe Awelewa
- Waheed Olaleye Awotoye
- Ayawa Nursing Agency
- Fulden Aycan
- Tewodros Tsegaye Ayele
- Amanda Michelle Ayres
- Sabarish R Ayyappan
All providers in Iowa City, IA · Transplant Surgery Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.