Active NPI
Donald Eghobamien, M.D.
- Internal Medicine Physician
- Cleveland, OH
National Provider Identifier
1497740260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35079013E
- Practice address
- 2322 E 22ND St
360
Cleveland, OH 44115-3176 - Phone
- (216) 363-7421
- Fax
- (216) 363-2768
- NPI assigned
- Sep 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35079013E | OH | Primary |
Addresses
Primary practice location
2322 E 22ND St
360
Cleveland, OH 44115-3176
Mailing address
5831 Alberta Dr
Lyndhurst, OH 44124-3910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2249721 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040219000060 | OH | Practitioner - Internal Medicine | 3072408947 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2322 E 22ND St
Suite 306
Cleveland, OH 44115-3100
Phone (216) 363-2556
2475 E 22ND St
Suite 110
Cleveland, OH 44115-3221
Phone (216) 363-7421
Hospital & facility affiliations
- Lutheran Hospital
- Uh Cleveland Medical Center
- Cleveland Clinic
- Hillcrest Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35079013E | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald E Eghobamien M.D Inc. | Internal Medicine | Current | Accepting new patients |
| Inner City Nursing Home Inc | Past | Accepting new patients | |
| Lutheran Hospital | Past | Accepting new patients |
Locations
4758 Ridge Rd
Cleveland, OH 44144
Phone (216) 333-8831
2322 E 22nd St
Ste 306
Cleveland, OH 44115
Phone (216) 363-2556
2475 E 22nd St
Ste 110
Cleveland, OH 44115
Phone (216) 363-2556
Interoperability endpoints
- deghobamien218692@ehrdirect.uhhospitals.org
- deghobamien@atassociates.mdsuitedirect.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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1649446634
Internal Medicine, OH
-
- Skilled Nursing Facility
- Cleveland, OH
- NPI 1306835905
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1194763045
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mayfield HTS, OH
- NPI 1902858152
Hospital
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
Hospital
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1497740260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5831 ALBERTA DR",
"city": "LYNDHURST",
"state": "OH",
"postal_code": "441243910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2322 E 22ND ST",
"address_2": "360",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441153176",
"telephone_number": "216-363-7421",
"fax_number": "216-363-2768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGHOBAMIEN",
"first_name": "DONALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35079013E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2249721",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.