NPIMap

Organization Active NPI

The Cleveland Clinic Foundation

Doing business as Cleveland Clinic

  • Diagnostic Radiology Physician
  • Kamuela, HI
National Provider Identifier
1487952354
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
THE CLEVELAND CLINIC FOUNDATION
Doing business as
Cleveland Clinic
Practice address
67-1125 Mamalahoa Hwy
Kamuela, HI 96743-8496
Phone
(808) 885-4444
NPI assigned
Mar 2, 2011
Last updated
Aug 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Dennis Laraway
Title
Executive VP Chief Finance Officer
Phone
(216) 445-1343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

67-1125 Mamalahoa Hwy
Kamuela, HI 96743-8496

Mailing address

6801 Brecksville Rd
Ste 20 Attn: DPC RK2-7
Independence, OH 44131-5062

Other names 1

  • Cleveland Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110406000291 HI Part B Supplier - Clinic/Group Practice 1850203555 Receives reassigned benefits from 6 practitioners
Practice locations: Kahului, HI; Kailua, HI; Kamuela, HI; Wailea, HI

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 32

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
South Pointe HospitalWarrensville Heights, OH, CCN 360144 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 7, 1997
Feb 7, 1997
Hillcrest HospitalMayfield HTS, OH, CCN 360230 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 7, 1997
Feb 7, 1997
Euclid HospitalEuclid, OH, CCN 360082 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 25, 1997
Nov 21, 2007
Lutheran HospitalCleveland, OH, CCN 360087 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 1, 1997
Mar 1, 1997
Fairview HospitalCleveland, OH, CCN 360077 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Feb 7, 1997
Feb 7, 1997
Akron General Medical CenterAkron, OH, CCN 360027 Hospital 5% Or Greater Indirect Ownership Interest (100%) Sep 1, 2014
Regency Hospital of North Central Ohio (Cleveland)Warrensville Heights, OH, CCN 362029 Hospital 5% Or Greater Indirect Ownership Interest (49%) Jul 1, 2016
Cleveland Clinic HospitalWeston, FL, CCN 100289 Hospital 5% Or Greater Indirect Ownership Interest (100%) Oct 1, 2006
Akron General Medical CenterAkron, OH, CCN 36S027 Hospital 5% Or Greater Indirect Ownership Interest (100%) Nov 1, 2015
Mercy Medical CenterCanton, OH, CCN 360070 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2021
Feb 1, 2021
Lodi Community HospitalLodi, OH, CCN 361303 Hospital 5% Or Greater Indirect Ownership Interest (100%) Nov 1, 2015
Mercy Medical CenterCanton, OH, CCN 36T070 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2021
Feb 1, 2021
Euclid HospitalEuclid, OH, CCN 36S082 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Feb 7, 1997
Feb 7, 1997
Cleveland ClinicMedina, OH, CCN 360091 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 31, 2009
Aug 31, 2009
Marymount Hospital IncGarfield Heights, OH, CCN 360143 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 3, 1995
Nov 3, 1995
Marymount Hospital IncGarfield Heights, OH, CCN 36S143 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 21, 2007
Nov 21, 2007
Cleveland Clinic Indian River HospitalVero Beach, FL, CCN 100105 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Cleveland Clinic Martin North, South, Tradition HospitalsStuart, FL, CCN 100044 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Cleveland Clinic Union HospitalDover, OH, CCN 360010 Hospital 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 1, 2018
Apr 1, 2018
Cleveland Clinic Union HospitalDover, OH, CCN 36T010 Hospital 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 1, 2018
Apr 1, 2018
Lutheran HospitalCleveland, OH, CCN 36S087 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Mar 1, 1997
Mar 1, 1997
Cleveland Clinic Children's Hospital for RehabilitationCleveland, OH, CCN 363304 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 16, 1998
Jul 16, 1998
Behavioral Health CenterVero Beach, FL, CCN 10S105 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Encompass Health Rehabilitation Hospital, an Affiliate of Martin HealtStuart, FL, CCN 103044 Hospital 5% Or Greater Indirect Ownership Interest (49%) Jan 1, 2019
Cleveland Clinic Rehabilitation Hospitals, LLCAvon, OH, CCN 363038 Hospital 5% Or Greater Direct Ownership Interest (49%) Dec 1, 2015
Cleveland Clinic Avon HospitalAvon, OH, CCN 360364 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 4, 2016
May 4, 2015
Select Specialty Hospital - Cleveland FairhillCleveland, OH, CCN 362026 Hospital 5% Or Greater Indirect Ownership Interest (49%) Jul 1, 2016
Lodi Community HospitalLodi, OH, CCN 36Z303 Hospital 5% Or Greater Indirect Ownership Interest (100%) Nov 1, 2015
Welcome Nursing HomeOberlin, OH, CCN 365508 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2017
Dec 8, 2025
Cleveland Clinic Foundation Cleveland Clinic Home CareIndependence, OH, CCN 367142 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 28, 2007
Nov 28, 2007
Union Hospital Home Health AgencyDover, OH, CCN 367426 Home health agency 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 1, 2018
Apr 1, 2018
Cleveland Clinic HospiceIndependence, OH, CCN 361554 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 23, 1992
Apr 1, 2009

Owned or controlled facilities with NPI records 32

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 32

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1487952354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BRECKSVILLE RD",
            "address_2": "STE 20 ATTN: DPC RK2-7",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67-1125 MAMALAHOA HWY",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438496",
            "telephone_number": "808-885-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLEVELAND CLINIC FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "EXECUTIVE VP CHIEF FINANCE OFFICER",
        "authorized_official_telephone_number": "216-445-1343"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cleveland Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kamuela, HI

Sources for this page

Verify at the official NPI Registry.