Individual provider Active NPI

Andrei Saraiva Purysko, M.D.

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1508099094
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.120911 Issued in OH
Practice address
9500 Euclid Ave
Mail Code JB3
Cleveland, OH 44195-1710
Phone
(216) 445-9005
NPI assigned
Aug 31, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 35.120911 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Mail Code JB3
Cleveland, OH 44195-1710

Mailing address

9500 Euclid Ave
Mail Code JB3
Cleveland, OH 44195-1710
Phone (216) 445-9005

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
I20130807000916 OH Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 0840432688 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians
Wooster Clinic LLCGroup PAC ID 6800708124, 290 clinicians

Practice addresses (Care Compare)

1125 Aspira CT
Mansfield, OH 44906-4125
Phone (419) 756-2122

1740 Cleveland Rd
Wooster, OH 44691-2204
Phone (330) 287-4500

33300 Cleveland Clinic Blvd
Avon, OH 44011-1172
Phone (440) 695-5000

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364
  • Fairview Hospital Hospital, Cleveland, OH, CCN 360077
  • Union Hospital Hospital, Dover, OH, CCN 360010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Jul 22, 2013 Accepting new patients
Clinic Medical Services Company LLC Diagnostic Radiology CurrentSince Jul 22, 2013 Accepting new patients
Cleveland Clinic Nevada Diagnostic Radiology CurrentSince Dec 11, 2015 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jul 16, 2013 Accepting new patients
Wooster Clinic, LLC CurrentSince Jan 4, 2014 Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

9500 Euclid Ave
#3
Cleveland, OH 44195
Phone (216) 445-0873

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

6100 W Creek Rd
#35
Independence, OH 44131
Phone (216) 642-8165

6801 Brecksville Rd
#1110
Independence, OH 44131
Phone (216) 986-1256

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Interoperability endpoints

  • Direct secure messaging: apurysko81013@direct.ccf.org

Organizations & group practices 6

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 5

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": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1508099094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "address_2": "MAIL CODE JB3",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441951710",
            "telephone_number": "216-445-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "address_2": "MAIL CODE JB3",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441951710",
            "telephone_number": "216-445-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURYSKO",
        "first_name": "ANDREI",
        "middle_name": "SARAIVA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-31",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.120911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.