Individual provider Active NPI

Elizabeth Diekroger, MD

  • Developmental - Behavioral Pediatrics Physician
  • Cleveland, OH
National Provider Identifier
1477724110
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
35.099944 Issued in OH
Practice address
11100 Euclid Avenue
Walker BLDG. Ste. 3150
Cleveland, OH 44106-6038
Phone
(216) 844-3230
Fax
(216) 201-5188
NPI assigned
Mar 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X 35.099944 OH Primary

Addresses

Primary practice location

11100 Euclid Avenue
Walker BLDG. Ste. 3150
Cleveland, OH 44106-6038

Mailing address

11100 Euclid Avenue
Walker BLDG. Ste. 3150
Cleveland, OH 44106-6038
Phone (216) 844-3230

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
I20150909001700 OH Practitioner - Pediatric Medicine 0547577447 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince Sep 1, 2015 Accepting new patients
Multicare Health System Past Accepting new patients

Locations

10524 Euclid Ave
Ste 3150
Cleveland, OH 44106
Phone (216) 844-3230

11100 Euclid Ave
Cleveland Heights, OH 44106

20800 Harvard Rd
Fl 2
Highland Hills, OH 44122
Phone (216) 358-2156

960 Clague Rd
Ste 1600
Westlake, OH 44145
Phone (216) 844-1765

Interoperability endpoints

  • Direct secure messaging: ediekroger36309@ehrdirect.uhhospitals.org

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1477724110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVENUE",
            "address_2": "WALKER BLDG. STE. 3150",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441066038",
            "telephone_number": "216-844-3230",
            "fax_number": "216-201-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVENUE",
            "address_2": "WALKER BLDG. STE. 3150",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441066038",
            "telephone_number": "216-844-3230",
            "fax_number": "216-201-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEKROGER",
        "first_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "OH",
            "license": "35.099944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.