Active NPI
Thomas V Schalcosky, DO
- Family Medicine Physician
- Warrensville Heights, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34010077
- Practice address
- 4180 Warrensville Center Rd
Warrensville Heights, OH 44122-7024 - Phone
- (216) 491-7888
- Fax
- (216) 491-7887
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0102049850 | VA | |
| Family Medicine Physician | 207Q00000X | 34010077 | OH | Primary |
Addresses
Primary practice location
4180 Warrensville Center Rd
Warrensville Heights, OH 44122-7024
Mailing address
4180 Warrensville Center Rd BLDG 5
Warrensville Heights, OH 44122-7024
Phone (216) 491-7888
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005625718 | Medicaid | VA | |
| 080188665 | Other | MEDICARE RAILROAD PROVIDER NUMBER | |
| 434853 | Other | ANTHEM |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
425 Water St
Suite 301
Chardon, OH 44024-1236
Phone (440) 214-6240
8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950
9500 Euclid Ave
Cleveland, OH 44195-0001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34010077 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Central Virginia Family Physicians Inc | Family Medicine | Past | Accepting new patients |
| Central Virginia Family Physicians, Inc. Laboratory | Past | Accepting new patients |
Locations
36901 American Way
Avon, OH 44011
Phone (440) 930-6200
425 Water St
Ste 301
Chardon, OH 44024
Phone (440) 214-6240
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
5595 Transportation Blvd
Ste 220
Garfield Hts, OH 44125
Phone (216) 261-7970
4180 Warrensville Center Rd
Warrensvl Hts, OH 44122
Phone (216) 491-6180
850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737
Interoperability endpoints
- tschalcoskydo143830@direct.ccf.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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- Family Medicine Physician
- Appomattox, VA
- NPI 1427145663
-
- Clinical Medical Laboratory
- Lynchburg, VA
- NPI 1083992523
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mayfield HTS, OH
- NPI 1902858152
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1598749814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4180 WARRENSVILLE CENTER RD BLDG 5",
"city": "WARRENSVILLE HEIGHTS",
"state": "OH",
"postal_code": "441227024",
"telephone_number": "216-491-7888",
"fax_number": "216-491-7887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4180 WARRENSVILLE CENTER RD",
"city": "WARRENSVILLE HEIGHTS",
"state": "OH",
"postal_code": "441227024",
"telephone_number": "216-491-7888",
"fax_number": "216-491-7887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHALCOSKY",
"first_name": "THOMAS",
"middle_name": "V",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102049850",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34010077",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005625718",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PROVIDER NUMBER",
"identifier": "080188665",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "434853",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warrensville Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.