Individual provider Active NPI

Arif S Usmani, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Brecksville, OH
National Provider Identifier
1568420602
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
35078311 Issued in OH
Practice address
6930 Treeline Dr
Ste G
Brecksville, OH 44141
Phone
(440) 627-2040
Fax
(440) 627-2070
NPI assigned
May 1, 2006
Last updated
Jul 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 27771 WV
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35078311 OH Primary

Addresses

Primary practice location

6930 Treeline Dr
Ste G
Brecksville, OH 44141

Mailing address

6930 Treeline Dr
Ste G
Brecksville, OH 44141
Phone (440) 627-2040

Other identifiers 1

IdentifierTypeStateIssuer
2232275MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040409000055 OH Practitioner - Pathology 7517951924 Reassigns benefits to 1 organization
I20180320001842 WV Practitioner - Pathology 7517951924

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1985
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)

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

6777 Engle Rd
Suite N
Cleveland, OH 44130-7941
Phone (440) 359-7115

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078311OHMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physicians Centers Inc CurrentSince Oct 1, 2014 Accepting new patients
Premier Physicians Centers, Inc. CurrentSince Oct 1, 2014 Accepting new patients

Locations

6777 Engle Rd
Ste N
Middleburg Heights, OH 44130
Phone (440) 359-7115

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 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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1568420602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 TREELINE DR",
            "address_2": "STE G",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "44141",
            "telephone_number": "440-627-2040",
            "fax_number": "440-627-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 TREELINE DR",
            "address_2": "STE G",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "44141",
            "telephone_number": "440-627-2040",
            "fax_number": "440-627-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USMANI",
        "first_name": "ARIF",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "WV",
            "license": "27771",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35078311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2232275",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

Verify at the official NPI Registry.