Individual provider Active NPI

Daniel A Breitenbach, M.D.

  • Internal Medicine Physician
  • University HTS, OH
National Provider Identifier
1629060462
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35050511 Issued in OH
Practice address
2174 Warrensville Center Rd
University HTS, OH 44118-3125
Phone
(216) 381-9000
Fax
(216) 381-2151
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 35050511 OH Primary

Addresses

Primary practice location

2174 Warrensville Center Rd
University HTS, OH 44118-3125

Mailing address

PO Box 567
Chagrin Falls, OH 44022-0567
Phone (216) 464-5160

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100420000505 OH Practitioner - Internal MedicinePractitioner - Infectious DiseasePractitioner - General Practice 2163336629 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35050511OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bes of Ohio, LLC, Dba Medgroup Current Accepting new patients
Incare Health Solutions, LLC CurrentSince May 17, 2021 Accepting new patients
Incare Health Solutions LLC Internal Medicine CurrentSince May 17, 2021 Accepting new patients
Bes of Ohio, LLC PastSince Sep 16, 1999 Accepting new patients

Locations

2640 W Market St
Fairlawn, OH 44333
Phone (330) 864-1916

211 Edgefield Blvd
Marion, OH 43302

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

3913 Darrow Rd
#100
Stow, OH 44224
Phone (330) 688-7900

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

13916 Cedar Rd
University Hts, OH 44118
Phone (216) 381-9000

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.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629060462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 567",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440220567",
            "telephone_number": "216-464-5160",
            "fax_number": "216-464-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2174 WARRENSVILLE CENTER RD",
            "city": "UNIVERSITY HTS",
            "state": "OH",
            "postal_code": "441183125",
            "telephone_number": "216-381-9000",
            "fax_number": "216-381-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITENBACH",
        "first_name": "DANIEL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35050511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University HTS, OH

Sources for this page

Verify at the official NPI Registry.