Individual provider Active NPI

Todd J Harris, PA

  • Physician Assistant
  • Garfield Heights, OH
National Provider Identifier
1619004595
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50001481 Issued in OH
Practice address
12300 McCracken Rd
Garfield Heights, OH 44125-2914
Phone
(216) 581-0500
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50001481 OH Primary

Addresses

Primary practice location

12300 McCracken Rd
Garfield Heights, OH 44125-2914

Mailing address

1384 Churchill Rd
Lyndhurst, OH 44124-1354

Other practice location 1

6000 Lombardo Ctr Ste 130
Seven Hills, OH 44131-6906
Phone (216) 478-9208

Other identifiers 1

IdentifierTypeStateIssuer
0093479MedicaidOH

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070320000207 OH Practitioner - Physician Assistant 5597868141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

26900 Cedar Rd
Beachwood, OH 44122-1191
Phone (216) 839-3000

29800 Bainbridge Rd
Solon, OH 44139-2202
Phone (216) 444-6568

2999 McMackin Rd
Madison, OH 44057-2330
Phone (440) 428-1111

5195 Mayfield Rd
Lyndhurst, OH 44124-2478
Phone (440) 442-0400

7060 Wayside Dr
Mentor, OH 44060-6527
Phone (440) 357-2770

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50001481OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Aug 26, 2013 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Aug 26, 2013 Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

12300 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 581-0500

Interoperability endpoints

  • Direct secure messaging: todd.harris.1@19801.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1619004595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1384 CHURCHILL RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441241354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 MCCRACKEN RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252914",
            "telephone_number": "216-581-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Lombardo Ctr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Seven Hills",
            "state": "OH",
            "postal_code": "441316906",
            "country_code": "US",
            "telephone_number": "216-478-9208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TODD",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50001481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093479",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

Verify at the official NPI Registry.