Individual provider Active NPI

Wendy A Kissinger, DO

  • Emergency Medicine Physician
  • Cleveland, OH
National Provider Identifier
1568564284
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS16358 Issued in FL
Practice address
2500 Metrohealth Dr
MHMC-Life Flight
Cleveland, OH 44109-1900
Phone
(216) 778-3090
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 006106 AZ
Emergency Medicine Physician 207P00000X Q1648 TX
Emergency Medicine Physician 207P00000X OS16358 FL Primary
Emergency Medicine Physician 207P00000X O-1306 ID
Emergency Medicine Physician 207P00000X O-1306 MH
Emergency Medicine Physician 207P00000X DR.0052122 CO
Emergency Medicine Physician 207P00000X DO1730 NV
Emergency Medicine Physician 207P00000X 34007739 OH

Addresses

Primary practice location

2500 Metrohealth Dr
MHMC-Life Flight
Cleveland, OH 44109-1900

Mailing address

2500 Metrohealth Dr
MHMC-Life Flight
Cleveland, OH 44109-1900
Phone (216) 778-3090

Other practice location 1

3841 W Charleston Blvd Ste 203
Las Vegas, NV 89102-1858
Phone (702) 848-4443 ext. 70284

Other practice location 2

3455 Ringsby Ct Ste 102
Denver, CO 80216-4923
Phone (303) 500-1518 ext. 30350

Other identifiers 1

IdentifierTypeStateIssuer
2427378MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wendykissinger@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CO, OK, FL, NV, AZ, NJ, VA, TX, WA, OR, MA, CA, IL, AR, DC, MD17 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 17

Enrollment IDStateProvider typePAC IDDetails
I20040412001682 OH Practitioner - Emergency Medicine 4688668726 Reassigns benefits to 2 organizations
I20200327001819 CO Practitioner - Emergency Medicine 4688668726 Reassigns benefits to 1 organization
I20200330002406 OK Practitioner - Emergency Medicine 4688668726 Reassigns benefits to 1 organization
I20200403000665 FL Practitioner - Emergency Medicine 4688668726 Reassigns benefits to 1 organization
I20200407000938 NV Practitioner - Emergency Medicine 4688668726
I20200407002401 AZ Practitioner - Emergency Medicine 4688668726 Reassigns benefits to 1 organization
I20200413002447 NJ Practitioner - Emergency Medicine 4688668726 Reassigns benefits to 1 organization
I20200417000885 VA Practitioner - Emergency Medicine 4688668726 Reassigns benefits to 1 organization
I20200421000781 TX Practitioner - Emergency Medicine 4688668726
I20200421002481 WA Practitioner - Emergency Medicine 4688668726 Reassigns benefits to 1 organization
I20210218002472 OR Practitioner - Emergency Medicine 4688668726 Reassigns benefits to 1 organization
I20220801002958 MA Practitioner - Emergency Medicine 4688668726 Reassigns benefits to 1 organization
I20220803003698 CA Practitioner - Emergency Medicine 4688668726 Reassigns benefits to 1 organization
I20220805000049 IL Practitioner - Emergency Medicine 4688668726
I20230220001590 AR Practitioner - Emergency Medicine 4688668726
I20230418000713 DC Practitioner - Emergency Medicine 4688668726 Reassigns benefits to 1 organization
I20240122000665 MD Practitioner - Emergency Medicine 4688668726

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Urgent Care, LLCGroup PAC ID 3971985607, 109 clinicians

Practice addresses (Care Compare)

3909 Orange PL
Suite 2100
Beachwood, OH 44122-8400
Phone (440) 809-8810

716 N Court St
Medina, OH 44256-1748
Phone (330) 426-8700

Merit-based Incentive Payment System (MIPS)

Final score
50.5 of 100Reported as group
Quality
44.61
Promoting interoperability
0
Improvement activities
40
Cost
50.57

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
74.27
Improvement activities
40
Cost
63.66

Merit-based Incentive Payment System (MIPS)

Final score
64.75 of 100Reported as group
Quality
55.37
Improvement activities
40
Cost
47.65

Merit-based Incentive Payment System (MIPS)

Final score
56.11 of 100Reported as group
Quality
50.63
Improvement activities
40
Cost
27.55

Merit-based Incentive Payment System (MIPS)

Final score
65.27 of 100Reported as group
Quality
45.09
Improvement activities
40
Cost
66.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006106AZMDEmergency Medicine Physician
DR.0052122COMDEmergency Medicine Physician
OS16358FLMDEmergency Medicine Physician
O-1306IDMDEmergency Medicine Physician
O-1306MHMDEmergency Medicine Physician
DO1730NVMDEmergency Medicine Physician
34007739OHMDEmergency Medicine Physician
Q1648TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatch Health Medical PC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Dispatchhealth-Arizona Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Dispatchhealth-Oregon PC Emergency Medicine CurrentSince Nov 13, 2020 Accepting new patients
Dispatchhealth Massachusetts PC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Dispatchhealth Washington PC Emergency Medicine CurrentSince Mar 11, 2020 Accepting new patients
University Primary Care Practices Inc CurrentSince Sep 26, 2015 Accepting new patients
Dispatchhealth-Florida Inc. Emergency Medicine CurrentSince Jun 12, 2020 Accepting new patients
University Hospitals Urgent Care, LLC CurrentSince Aug 1, 2022 Accepting new patients
True North Health Navigation LLC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Hospitals Urgent Care, LLC CurrentSince Aug 1, 2022 Accepting new patients
Dispatchhealth-Texas P a Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Dispatchhealth-Arizona Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Dispatchhealth-Ca, PC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
University Primary Care Practices Inc. Past Accepting new patients
Excella Home Health Agency, LLC PastSince Jul 1, 2022 Accepting new patients
Emergency Medicine Physicians of Wadsworth, LTD. Emergency Medicine Past Accepting new patients
True North Health Navigation LLC Emergency Medicine Past Accepting new patients
Professional Portable Radiologic Services Inc. PastSince Oct 9, 2022 Accepting new patients
Professional Portable Radiologic Services Inc. PastSince Nov 1, 2022 Accepting new patients

Locations (25 of 31)

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

1705 W University Dr
Ste 104
Tempe, AZ 85281
Phone (480) 493-3444

604 E Huntington Dr
Ste B
Monrovia, CA 91016

720 Carnegie Dr
Ste 140
San Bernardino, CA 92408

4719 Viewridge Ave
Ste 130
San Diego, CA 92123
Phone (303) 500-1815

140 Centennial Way
Tustin, CA 92780
Phone (706) 315-2523

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

3455 Ringsby Ct
Ste 102
Denver, CO 80216
Phone 3035001518 ext. 30350

3827 N Lafayette St
Denver, CO 80205
Phone (303) 898-9230

8270 College Pkwy
Ste 103
Fort Myers, FL 33919
Phone (239) 322-3434

5421 Beaumont Center Blvd
Ste 660
Tampa, FL 33634
Phone (813) 551-1015

980 N Michigan Ave
Ste 1400
Chicago, IL 60611
Phone (312) 214-3605

980 N Michigan Ave
Ste 140
Chicago, IL 60611

2255 W Harrison St
Ste C
Chicago, IL 60612

123 Park Ave
West Springfield, MA 01089
Phone (413) 732-8700

50 Tice Blvd
Ste A35
Woodcliff Lk, NJ 07677
Phone (201) 882-7526

3841 W Charleston Blvd
Ste 203
Las Vegas, NV 89102
Phone (702) 848-4443

3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800

7500 Auburn Rd
Ste 1200
Concord Township, OH 44077
Phone (440) 358-5400

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

4001 Carrick Dr
Ste 120
Medina, OH 44256
Phone (330) 426-8700

9000 Mentor Ave
Ste 101
Mentor, OH 44060
Phone (440) 974-4443

960 Clague Rd
Ste 1100B
Westlake, OH 44145
Phone (440) 250-5366

2525 NW Expressway St
Ste 102
Oklahoma City, OK 73112
Phone (405) 213-0190

205 SE Spokane St
Ste 300
Portland, OR 97202
Phone (503) 388-4255

Interoperability endpoints

  • Direct secure messaging: wendy.kissinger.1@13869.direct.athenahealth.com

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1568564284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "address_2": "MHMC-LIFE FLIGHT",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "216-778-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "address_2": "MHMC-LIFE FLIGHT",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "216-778-3090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3841 W Charleston Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021858",
            "country_code": "US",
            "telephone_number": "702-848-4443 x70284",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3455 Ringsby Ct Ste 102",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802164923",
            "country_code": "US",
            "telephone_number": "303-500-1518 x30350",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISSINGER",
        "first_name": "WENDY",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "006106",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q1648",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS16358",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "O-1306",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MH",
            "license": "O-1306",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0052122",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "DO1730",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34007739",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2427378",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wendykissinger@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "4001 Carrick Dr",
            "city": "Medina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442565387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.