Active NPI
Sandra Gembus, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 041899
- Practice address
- 10515 Carnegie Ave
Cleveland, OH 44106-3016 - Phone
- (216) 928-0136
- Fax
- (216) 928-0141
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN211887 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 041899 | OH | Primary |
Addresses
Primary practice location
10515 Carnegie Ave
Cleveland, OH 44106-3016
Mailing address
10515 Carnegie Ave
Cleveland, OH 44106-3016
Phone (216) 928-0136
Other practice location 1
22715 Fairview Center Dr
Fairview Park, OH 44126-3608
Phone (440) 777-8400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000127087 | Other | OH | ANTHEM |
| 430036930 | Other | OH | RAILROAD MEDICARE |
| 0903919 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 78.79 of 100
- Quality
- 71.01
- Improvement activities
- 40
- Cost
- 82.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN211887 | OH | MD | Registered Nurse |
| 041899 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radius Anesthesia of Ohio, LLC | Current | Accepting new patients | |
| Ohio Anesthesia Group, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ohio Surgical Anesthesia LLC | Past | Accepting new patients |
Locations
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902
22715 Fairview Center Dr
Fairview Park, OH 44126
Phone (330) 810-5797
29017 Cedar Rd
Lyndhurst, OH 44124
Phone (440) 255-9920
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.
-
- Anesthesiology Physician
- Canton, OH
- NPI 1639348113
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1427416585
-
- Anesthesiology Physician
- Sheffield Village, OH
- NPI 1588898548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1578643003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10515 CARNEGIE AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441063016",
"telephone_number": "216-928-0136",
"fax_number": "216-928-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10515 CARNEGIE AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441063016",
"telephone_number": "216-928-0136",
"fax_number": "216-928-0141"
}
],
"practiceLocations": [
{
"address_1": "22715 Fairview Center Dr",
"address_purpose": "LOCATION",
"city": "Fairview Park",
"state": "OH",
"postal_code": "441263608",
"country_code": "US",
"telephone_number": "440-777-8400",
"fax_number": "440-579-0167",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEMBUS",
"first_name": "SANDRA",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN211887",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "041899",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000127087",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430036930",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0903919",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.