Individual provider Active NPI

James A Kontak, M.D.

  • Urology Physician
  • Cleveland, OH
National Provider Identifier
1578503272
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35-086555 Issued in OH
Practice address
18099 Lorain Ave
Suite 141
Cleveland, OH 44111-5610
Phone
(216) 941-0333
Fax
(216) 941-1071
NPI assigned
Jun 8, 2006
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35-086555 OH Primary

Addresses

Primary practice location

18099 Lorain Ave
Suite 141
Cleveland, OH 44111-5610

Mailing address

18099 Lorain Ave
Suite 141
Cleveland, OH 44111-5610
Phone (216) 941-0333

Other practice location 1

5260 Smith Rd
Brookpark, OH 44142-1747
Phone (216) 941-0333

Other practice location 2

29101 Health Campus Dr Ste 310
Westlake, OH 44145-5274
Phone (440) 892-6600

Other identifiers 2

IdentifierTypeStateIssuer
UR9354701OtherOHMEDICARE GROUP PIN #
2580103MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jameskontak@upllc.allscriptsdirect.net Health Information Exchange (HIE)

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
I20050713000069 OH Practitioner - Urology 4183650948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Toledo College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fisher-Titus Medical Care LLCGroup PAC ID 6507940566, 82 clinicians
Southwest Urology, LLCGroup PAC ID 4789632902, 14 clinicians

Practice addresses (Care Compare)

2800 Hayes Ave
BLDG D
Sandusky, OH 44870-7252
Phone (419) 627-8771

29101 Health Campus Dr
Suite 310
Westlake, OH 44145-5274
Phone (440) 892-6600

5260 Smith Rd
Brook Park, OH 44142-1747
Phone (216) 265-4580

6900 Pearl Rd
Suite 200
Middleburg Heights, OH 44130-3640
Phone (440) 845-0900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-086555OHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher-Titus Medical Care LLC Single Specialty CurrentSince Sep 9, 2023 Accepting new patients
Southwest Urology, LLC Single Specialty CurrentSince Apr 1, 2024 Accepting new patients
Fisher-Titus Medical Center Single Specialty Current Accepting new patients
Southwest Urology, LLC PastSince Jan 1, 1990 Accepting new patients

Locations

5260 Smith Rd
Cleveland, OH 44142
Phone (216) 265-4580

6900 Pearl Rd
Fl 2
Middleburg Heights, OH 44130
Phone (440) 845-0900

6900 Pearl Rd
Ste 200
Middleburg Heights, OH 44130
Phone (440) 845-0900

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 423-5197

278 Benedict Ave
Ste 650
Norwalk, OH 44857
Phone (419) 660-9675

2800 Hayes Ave
Bldg D
Sandusky, OH 44870
Phone (419) 627-8771

29101 Health Campus Dr
Ste 310
Westlake, OH 44145
Phone (440) 892-6600

Interoperability endpoints

  • Direct secure messaging: jameskontak@upllc.allscriptsdirect.net
  • Direct secure messaging: jkontak36788@ehrdirect.uhhospitals.org

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

Hospital & facility affiliations 8

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1578503272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18099 LORAIN AVE",
            "address_2": "SUITE 141",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115610",
            "telephone_number": "216-941-0333",
            "fax_number": "216-941-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18099 LORAIN AVE",
            "address_2": "SUITE 141",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115610",
            "telephone_number": "216-941-0333",
            "fax_number": "216-941-1071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5260 Smith Rd",
            "address_purpose": "LOCATION",
            "city": "Brookpark",
            "state": "OH",
            "postal_code": "441421747",
            "country_code": "US",
            "telephone_number": "216-941-0333",
            "fax_number": "216-941-5257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29101 Health Campus Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441455274",
            "country_code": "US",
            "telephone_number": "440-892-6600",
            "fax_number": "440-892-3482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONTAK",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35-086555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN #",
            "identifier": "UR9354701",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2580103",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jameskontak@upllc.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Allscripts Pro EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "18099 Lorain Ave",
            "address_2": "Suite 141",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441115610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.