Active NPI
Antonino Bucca, MD
- Emergency Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01083658A
- Practice address
- 720 Eskenazi Ave BLDG 3
Indianapolis, IN 46202-5187 - Phone
- (317) 880-3900
- NPI assigned
- May 30, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35.141598 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 11019922A | IN | |
| Emergency Medicine Physician | 207P00000X | 01083658A | IN | Primary |
Addresses
Primary practice location
720 Eskenazi Ave BLDG 3
Indianapolis, IN 46202-5187
Mailing address
250 N Shadeland Ave Ste 200
Indianapolis, IN 46219-4959
Phone (317) 962-3834
Other practice location 1
7007 Powers Blvd
Parma, OH 44129-5437
Phone (240) 686-2300
Other practice location 2
630 E River St
Elyria, OH 44035-5902
Phone (240) 686-2300
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
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Ohio State University College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200
Hospital & facility affiliations
- Fairview Hospital
- Cleveland Clinic
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.78 of 100
- Quality
- 89.46
- Promoting interoperability
- 99.02
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.26 of 100
- Quality
- 86.95
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01083658A | IN | MD | Emergency Medicine Physician |
| 35.141598 | OH | MD | Emergency Medicine Physician |
| 11019922A | IN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magis Emergency Medicine LLC | Emergency Medicine | Current | Accepting new patients |
| Physicians Link Center LLC | Emergency Medicine | Current | Accepting new patients |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Locations
1025 Center St
Ashland, OH 44805
Phone (419) 207-2370
13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004
3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226
44 Blaine Ave
Cleveland, OH 44146
Phone (330) 528-3593
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
11100 Euclid Ave
Cleveland Heights, OH 44106
630 E River St
Elyria, OH 44035
Phone (440) 329-7450
32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500
7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000
6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606
27100 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 585-6000
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Interoperability endpoints
- abucca37943@ehrdirect.uhhospitals.org
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Emergency Medicine Physician
- Parma, OH
- NPI 1801287511
-
- Emergency Medicine Physician
- Elyria, OH
- NPI 1235172925
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Emergency Medicine
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1215989611
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1508358128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959",
"telephone_number": "317-962-3834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 ESKENAZI AVE BLDG 3",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025187",
"telephone_number": "317-880-3900"
}
],
"practiceLocations": [
{
"address_1": "7007 Powers Blvd",
"address_purpose": "LOCATION",
"city": "Parma",
"state": "OH",
"postal_code": "441295437",
"country_code": "US",
"telephone_number": "240-686-2300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "630 E River St",
"address_purpose": "LOCATION",
"city": "Elyria",
"state": "OH",
"postal_code": "440355902",
"country_code": "US",
"telephone_number": "240-686-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCCA",
"first_name": "ANTONINO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-30",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.141598",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11019922A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01083658A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.