Individual provider Active NPI

Edward Gabelman, M.D.

  • Specialist
  • Beachwood, OH
National Provider Identifier
1619976545
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35030434G Issued in OH
Practice address
23250 Mercantile Rd
Beachwood, OH 44122-5928
Phone
(216) 292-0600
Fax
(216) 292-0609
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35030434G OH Primary

Addresses

Primary practice location

23250 Mercantile Rd
Beachwood, OH 44122-5928

Mailing address

23250 Mercantile Rd
Beachwood, OH 44122-5928
Phone (216) 292-0600

Other identifiers 3

IdentifierTypeStateIssuer
09-00089OtherOHUNITED HEALTH CARE
000000126902OtherOHANTHEM
200009567OtherOHMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35030434GOHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Gabelman & Leizman Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1619976545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23250 MERCANTILE RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225928",
            "telephone_number": "216-292-0600",
            "fax_number": "216-292-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23250 MERCANTILE RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225928",
            "telephone_number": "216-292-0600",
            "fax_number": "216-292-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABELMAN",
        "first_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35030434G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "09-00089",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000126902",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "200009567",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.