NPIMap

Individual provider Active NPI

Rebecca A Ware, MD

  • Internal Medicine Physician
  • Lorain, OH
National Provider Identifier
1568412161
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35083877 Issued in OH
Practice address
6055 Park Square Dr
Lorain, OH 44053-4154
Phone
(440) 723-5685
Fax
(440) 723-5686
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35083877 OH Primary

Addresses

Primary practice location

6055 Park Square Dr
Lorain, OH 44053-4154

Mailing address

PO Box 378
Sandusky, OH 44871-0378
Phone (419) 609-1112

Other identifiers 4

IdentifierTypeStateIssuer
2455945MedicaidOH
H518050OtherOHMEDICARE
7690503OtherOHAETNA
000001058808OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040402000743 OH Practitioner - Internal Medicine 6901898402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, 252 clinicians

Practice addresses (Care Compare)

3004 Hayes Ave
Sandusky, OH 44870-5321
Phone (419) 609-1112

6055 Park Square Dr
Lorain, OH 44053-4154
Phone (440) 723-5685

Hospital & facility affiliations

  • Elara Caring Home health agency, Mentor, OH, CCN 367173
  • Luxe Home Health Care LLC Home health agency, Avon, OH, CCN 369338
  • Wellspring Home Health Care Home health agency, Lorain, OH, CCN 369086
  • Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145
  • Mercy Allen Hospital Hospital, Oberlin, OH, CCN 361306
  • Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35083877OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists, LLC CurrentSince Sep 17, 2018 Accepting new patients
Northern Ohio Medical Specialists LLC Internal Medicine CurrentSince Sep 17, 2018 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

254 Cleveland Ave
Ste 101
Amherst, OH 44001
Phone (440) 723-5685

6055 Park Square Dr
Lorain, OH 44053
Phone (440) 723-5685

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

Interoperability endpoints

  • Direct secure messaging: rware20872@nomshealthcare.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1568412161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-609-1112",
            "fax_number": "419-502-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6055 PARK SQUARE DR",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440534154",
            "telephone_number": "440-723-5685",
            "fax_number": "440-723-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35083877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2455945",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H518050",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7690503",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000001058808",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.