Individual provider Active NPI

Antonios Paras, MD

  • Internal Medicine Physician
  • Westlake, OH
National Provider Identifier
1497722854
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35047318P Issued in OH
Practice address
25200 Center Ridge Rd
Suite 2300
Westlake, OH 44145-4141
Phone
(440) 331-5053
Fax
(440) 331-9531
NPI assigned
Mar 3, 2006
Last updated
May 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35047318P OH Primary

Addresses

Primary practice location

25200 Center Ridge Rd
Suite 2300
Westlake, OH 44145-4141

Mailing address

20525 Center Ridge Road
Suite 220
Rocky River, OH 44116
Phone (440) 895-5056

Other identifiers 13

IdentifierTypeStateIssuer
000000031812OtherANTHEM
10797209OtherCAQH
CA4511OtherRR MEDICARE GROUP
D368301OtherMEDICARE IND DIAGNOSTICS
0510718MedicaidOH
9273172OtherGROUP MEDICARE
110135584OtherRR MEDICARE INDIVIDUAL
102571OtherKAISER
0119204OtherGROUP MEDICAID
1780634279OtherGROUP NPI
3610861OtherGROUP ASC MEDICARE
34-1783789OtherGROUP TAX ID
4007741OtherAETNA

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
I20070927000865 OH Practitioner - Internal Medicine 8527153188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Physicians Centers IncGroup PAC ID 0345153326, 50 clinicians

Practice addresses (Care Compare)

25200 Ctr Ridge Rd
Westlake, OH 44145-4142

25200 Ctr Ridge Rd
Suite 2300
Westlake, OH 44145-4148
Phone (440) 331-5053

25200 Ctr Ridge Rd
Suite 2400
Westlake, OH 44145-4152
Phone (440) 333-3332

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35047318POHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physicians Centers Inc CurrentSince Mar 7, 1997 Accepting new patients
Premier Physicians Centers, Inc. Internal Medicine CurrentSince Mar 7, 1997 Accepting new patients
Premier Physicians Centers, Inc Past Accepting new patients

Locations

15000 Madison Ave
Lakewood, OH 44107
Phone (216) 221-7642

20525 Center Ridge Rd
Ste 220
Rocky River, OH 44116
Phone (440) 895-5021

24500 Center Ridge Rd
Ste 375
Westlake, OH 44145
Phone (440) 467-1954

25200 Center Ridge Rd
Ste 2300
Westlake, OH 44145
Phone (440) 331-5053

Interoperability endpoints

  • Direct secure messaging: antonios.paras@ppc2.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1497722854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20525 CENTER RIDGE ROAD",
            "address_2": "SUITE 220",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "44116",
            "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": "25200 CENTER RIDGE RD",
            "address_2": "SUITE 2300",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454141",
            "telephone_number": "440-331-5053",
            "fax_number": "440-331-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAS",
        "first_name": "ANTONIOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35047318P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000031812",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10797209",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CA4511",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IND DIAGNOSTICS",
            "identifier": "D368301",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0510718",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "9273172",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE INDIVIDUAL",
            "identifier": "110135584",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "102571",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "0119204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1780634279",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ASC MEDICARE",
            "identifier": "3610861",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID",
            "identifier": "34-1783789",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4007741",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.