NPIMap

Individual provider Active NPI

Jayantilal D Bhimani, MD

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1619943388
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35067464B Issued in OH
Practice address
1730 W 25TH St Ste 2E
Cleveland, OH 44113-3108
Phone
(216) 696-4140
Fax
(216) 363-2058
NPI assigned
Feb 23, 2006
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35067464B OH Primary

Addresses

Primary practice location

1730 W 25TH St Ste 2E
Cleveland, OH 44113-3108

Mailing address

20525 Center Ridge Road
Suite 220
Rocky River, OH 44116
Phone (440) 895-5056

Other identifiers 15

IdentifierTypeStateIssuer
000000183955OtherANTHEM
0402766OtherUNITED HEALTHCARE
341783789065OtherCARESOURCE
CA4511OtherGROUP RR MEDICARE
0119204OtherGROUP MEDICAID
D368301OtherGROUP IND DIAGNOSTICS MED
107754OtherKAISER
10788628OtherCAQH
110203325OtherRR MEDICARE INDIVIDUAL
2212325OtherAETNA
0102285MedicaidOH
1780634279OtherGROUP NPI
3610861OtherGROUP ASC MEDICARE
9273172OtherGROUP MEDICARE
F67464OtherSUMMACARE APEX

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
I20070927000573 OH Practitioner - Internal Medicine 6002901634 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nurse Practitioner Health Services LLCGroup PAC ID 4880840115, 18 clinicians

Practice addresses (Care Compare)

19530 Bagley Rd
Cleveland, OH 44130-3326
Phone (440) 879-1108

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35067464BOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Assure MD LLC Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Nurse Practitioner Health Services, LLC CurrentSince Feb 2, 2022 Accepting new patients
Larchwood Care LLC Past Accepting new patients
Lutheran Hospital Past Accepting new patients
Franklin Boulevard Nursing Home, Inc. Past Accepting new patients
Hopkins Opco LLC Past Accepting new patients
Progressive North Ridgeville LLC Past Accepting new patients
Premier Physicians Centers, Inc Past Accepting new patients
17322 Euclid Avenue Company LLC Past Accepting new patients
Crestmont Nursing Home North Corp. Past Accepting new patients
Myocare Nursing Home, Inc. Past Accepting new patients
Garden Healthcare of Rocky River LLC Past Accepting new patients
Southern Hills Health and Rehabilitation Center LLC Past Accepting new patients
Embassy Oak Hills Management Past Accepting new patients
Algart Health Care, Inc Past Accepting new patients
Divine Rehabilitation and Nursing at Canal Pointe LLC Past Accepting new patients
West Bloomfield Pediatrics PLLC Past Accepting new patients
Premier Physicians Centers Inc Internal Medicine Past Accepting new patients

Locations

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

1730 W 25th St
Ste 2E
Cleveland, OH 44113
Phone (216) 227-9440

2709 Franklin Blvd
Fl 2E
Cleveland, OH 44113
Phone (216) 363-5720

5050 Blazer Pkwy
Ste 201
Dublin, OH 43017
Phone (614) 495-8428

19530 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-7500

15400 Pearl Rd
Ste 230
Strongsville, OH 44136

15400 Pearl Rd
Ste 238
Strongsville, OH 44136
Phone (440) 879-1258

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Algart Health CareCleveland, OH, CCN 366308 Skilled nursing facility W-2 Managing Employee
Adp of the SNF		 Nov 30, 2017
Dec 17, 2024
Westpark Healthcare CampusCleveland, OH, CCN 365796 Skilled nursing facility Adp of the SNF Jun 1, 2018
Crestmont North Nursing HomeLakewood, OH, CCN 365875 Skilled nursing facility Adp of the SNF Jun 1, 2018
Rocky River Gardens Rehabilitation and Nursing CenterCleveland, OH, CCN 365392 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Dec 30, 2016
Dec 30, 2016
Dec 30, 2016
Avenue at North RidgevilleNorth Ridgeville, OH, CCN 366477 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 8, 2020
Jul 8, 2020
Aristos Nursing and RehabilitationCleveland, OH, CCN 366058 Skilled nursing facility Adp of the SNF Dec 31, 2024
SuncrestIndependence, OH, CCN 361726 Hospice Contracted Managing Employee Mar 1, 2022

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 12

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1619943388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20525 CENTER RIDGE ROAD",
            "address_2": "SUITE 220",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "44116",
            "telephone_number": "440-895-5056",
            "fax_number": "440-333-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W 25TH ST STE 2E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133108",
            "telephone_number": "216-696-4140",
            "fax_number": "216-363-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHIMANI",
        "first_name": "JAYANTILAL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35067464B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000183955",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0402766",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341783789065",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RR MEDICARE",
            "identifier": "CA4511",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "0119204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP IND DIAGNOSTICS MED",
            "identifier": "D368301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "107754",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10788628",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE INDIVIDUAL",
            "identifier": "110203325",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2212325",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102285",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1780634279",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ASC MEDICARE",
            "identifier": "3610861",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "9273172",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMACARE APEX",
            "identifier": "F67464",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.