NPIMap

Organization Active NPI

University Primary Care Practices, Inc.

Doing business as Center for Othopedics

  • Orthopaedic Surgery Physician
  • Sheffield Village, OH
National Provider Identifier
1508307109
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
UNIVERSITY PRIMARY CARE PRACTICES, INC.
Doing business as
Center for Othopedics
Practice address
5001 Transportation Dr Ste 101
Sheffield Village, OH 44054-2850
Phone
(440) 329-2800
Fax
(440) 329-2810
NPI assigned
Mar 15, 2017
Last updated
Jun 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Donald Decarlo, MD
Title
Cmo, East Market
Phone
(440) 285-2950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X OH Primary

Addresses

Primary practice location

5001 Transportation Dr Ste 101
Sheffield Village, OH 44054-2850

Mailing address

PO Box 772928
Detroit, MI 48277-2928

Other names 1

  • Center for Othopedics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170516000970 OH DME Supplier - Physician - Orthopedic/Orthopedic Surgery 3072417534 Practice locations: Sheffield Village, OH

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Uhhs Chagrin Highland U74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1508307109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772928",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 TRANSPORTATION DR STE 101",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440542850",
            "telephone_number": "440-329-2800",
            "fax_number": "440-329-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PRIMARY CARE PRACTICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "DECARLO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CMO, EAST MARKET",
        "authorized_official_telephone_number": "440-285-2950",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Othopedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Othopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheffield Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.