Individual provider Active NPI

Paul Poommipanit, M.D.

  • Interventional Cardiology Physician
  • Cleveland, OH
National Provider Identifier
1487779757
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
32.128051 Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-0004
Phone
(216) 444-2200
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 32.128051 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-0004

Mailing address

9500 Euclid Ave # J2-221
Cleveland, OH 44195-0001
Phone (216) 445-3991

Other identifiers 1

IdentifierTypeStateIssuer
003127916AMedicaidGA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address paulpoommipanit@uhps.allscriptsdirect.net
Direct Messaging Address paulpoommipanit@uhps.allscriptsdirect.net

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
I20160920003020 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 0244355220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Tulane University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 445-9596

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32.128051OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Oct 1, 2012 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Mar 6, 2025 Accepting new patients
Au Medical Associates Inc CurrentSince Oct 1, 2012 Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

2258 Wrightsboro Rd
Ste 150
Augusta, GA 30904
Phone (706) 738-2605

1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951

2258 Wrightsboro Rd
Ste 250
Augusta, GA 30904
Phone (706) 724-6543

9500 Euclid Ave
#J2221
Cleveland, OH 44195

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

6525 Powers Blvd
Ste 301
Parma, OH 44129
Phone (440) 882-0045

6525 Powers Blvd
#301
Parma, OH 44129
Phone (440) 882-0045

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

Interoperability endpoints

  • Direct secure messaging: ppoommipanit37701@ehrdirect.uhhospitals.org

Organizations & group practices 3

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 4

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1487779757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE # J2-221",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-445-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950004",
            "telephone_number": "216-444-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOMMIPANIT",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "32.128051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003127916A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paulpoommipanit@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5901 E Royalton Rd Ste 2400",
            "city": "Broadview Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441473532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paulpoommipanit@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "6525 Powers Blvd Ste 301",
            "city": "Parma",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441295461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.