NPIMap

Individual provider Active NPI

Jae Sung Cho, M.D.

  • Vascular Surgery Physician
  • Cleveland, OH
National Provider Identifier
1578535001
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G86408 Issued in CA
Practice address
11100 Euclid Ave Ste 1800
Cleveland, OH 44106-1716
Phone
(216) 844-3013
Fax
(216) 844-7716
NPI assigned
Feb 7, 2006
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X G86408 CA Primary

Addresses

Primary practice location

11100 Euclid Ave Ste 1800
Cleveland, OH 44106-1716

Mailing address

236 San Jose St
Salinas, CA 93901-3901
Phone (831) 424-7389

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jaecho@uhps.allscriptsdirect.net
Direct Messaging Address jaecho@uhps.allscriptsdirect.net
Direct Messaging Address jaecho@uhps.allscriptsdirect.net

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
I20181011001407 OH Practitioner - Vascular Surgery 4183894934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of California, Irvine, California College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G86408CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince Aug 22, 2018 Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients
Multicare Health System Past Accepting new patients
University Primary Care Practices Inc PastSince Jan 3, 2021 Accepting new patients

Locations

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

11100 Euclid Ave
Cleveland Heights, OH 44106

3800 Embassy Pkwy
Ste 250
Fairlawn, OH 44333

9000 Mentor Ave
Ste 212
Mentor, OH 44060
Phone 44025508001

Interoperability endpoints

  • Direct secure messaging: jcho36144@ehrdirect.uhhospitals.org

Organizations & group practices 5

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 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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1578535001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 SAN JOSE ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013901",
            "telephone_number": "831-424-7389",
            "fax_number": "831-424-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE STE 1800",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-3013",
            "fax_number": "216-844-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "JAE",
        "middle_name": "SUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G86408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaecho@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "9000 Mentor Ave Ste 212",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440604497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaecho@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "3800 Embassy Pkwy Ste 250",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443338398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaecho@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "11100 Euclid Ave Ste 1800",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441061716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.