Individual provider Active NPI

Sudhir R Oza, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Cleveland, OH
National Provider Identifier
1558464883
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
35045653 Issued in OH
Practice address
16111 Lorain Ave
Cleveland, OH 44111-5520
Phone
(216) 252-8444
Fax
(216) 252-7224
NPI assigned
Sep 5, 2006
Last updated
Aug 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35045653 OH
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 35045653 OH Primary
Pediatrics Physician 208000000X 35045653 OH

Addresses

Primary practice location

16111 Lorain Ave
Cleveland, OH 44111-5520

Mailing address

16111 Lorrain Avenue
Cleveland, OH 44145
Phone (216) 252-8444

Other identifiers 6

IdentifierTypeStateIssuer
000000130888OtherOHBLUE CROSS AND BLUE SHIELD PIN
110146232OtherOHRAILROAD PIN
1851587455OtherOHGROUP NPI
9916374OtherOHMEDICARE GROUP PIN
CK3114OtherOHRAILROAD GROUP PIN
0444031MedicaidOH

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
I20101119000310 OH Practitioner - Internal Medicine 1456547207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physicians Centers IncGroup PAC ID 0345153326, 50 clinicians

Practice addresses (Care Compare)

16111 Lorain Ave
Cleveland, OH 44111-5520
Phone (216) 252-8444

25200 Ctr Ridge Rd
Suite 2300
Westlake, OH 44145-4148
Phone (440) 331-5053

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physicians Centers, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Premier Physicians Centers Inc CurrentSince Jun 1, 2021 Accepting new patients
Premier Physicians Centers, Inc. Internal Medicine Current Accepting new patients

Locations

16111 Lorain Ave
Cleveland, OH 44111
Phone (216) 252-8444

24500 Center Ridge Rd
Ste 375
Westlake, OH 44145
Phone (440) 467-1954

25200 Center Ridge Rd
Ste 2300
Westlake, OH 44145
Phone (440) 331-5053

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1558464883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16111 LORRAIN AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44145",
            "telephone_number": "216-252-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16111 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115520",
            "telephone_number": "216-252-8444",
            "fax_number": "216-252-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZA",
        "first_name": "SUDHIR",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35045653",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35045653",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35045653",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD PIN",
            "identifier": "000000130888",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PIN",
            "identifier": "110146232",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1851587455",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "9916374",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP PIN",
            "identifier": "CK3114",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444031",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.