Individual provider Active NPI

Mitchell E Nahra, M.D.

  • Orthopaedic Surgery Physician
  • Mentor, OH
National Provider Identifier
1508979485
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35055865 Issued in OH
Practice address
9500 Mentor Ave
Suite 210
Mentor, OH 44060-8713
Phone
(440) 352-1711
Fax
(440) 352-7562
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 35055865 OH
Orthopaedic Surgery Physician 207X00000X 35055865 OH Primary

Addresses

Primary practice location

9500 Mentor Ave
Suite 210
Mentor, OH 44060-8713

Mailing address

9500 Mentor Ave
Suite 210
Mentor, OH 44060-8713
Phone (440) 352-1711

Other identifiers 1

IdentifierTypeStateIssuer
0930041MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mitchell.nahra@loa.eclinicaldirectplus.com Direct

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
I20101005000853 OH Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 6305896028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Orthopaedic Associates, Inc.Group PAC ID 1052361771, 10 clinicians

Practice addresses (Care Compare)

36060 Euclid Ave
Suite 104
Willoughby, OH 44094-4661
Phone (440) 942-1050

Hospital & facility affiliations

  • Lake Health Hospital, Concord, OH, CCN 360098

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35055865OHMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Orthopaedic Associates, Inc. Orthopaedic Surgery CurrentSince Jul 1, 1993 Accepting new patients
Lake Orthopaedic Associates, Inc. Orthopaedic Surgery Current Accepting new patients
Lake Orthopaedic Associates, Inc. Orthopaedic Surgery CurrentSince Jul 1, 1993 Accepting new patients

Locations

9500 Mentor Ave
Ste 210
Mentor, OH 44060
Phone (440) 352-0934

36060 Euclid Ave
Ste 104
Willoughby, OH 44094
Phone (440) 942-1050

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBFBCA

Organizations & group practices 4

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 1

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1508979485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 MENTOR AVE",
            "address_2": "SUITE 210",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440608713",
            "telephone_number": "440-352-1711",
            "fax_number": "440-352-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MENTOR AVE",
            "address_2": "SUITE 210",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440608713",
            "telephone_number": "440-352-1711",
            "fax_number": "440-352-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHRA",
        "first_name": "MITCHELL",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "OH",
            "license": "35055865",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35055865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0930041",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mitchell.nahra@loa.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "9500 Mentor Ave",
            "address_2": "Suite 210",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440608713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.