Individual provider Active NPI

Charles Spirtos, M.D.

  • Diagnostic Radiology Physician
  • Youngstown, OH
National Provider Identifier
1629212584
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.094750 Issued in OH
Practice address
1815 Belmont Ave
Youngstown, OH 44504-1106
Phone
(330) 740-9200
NPI assigned
Apr 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35.094750 OH Primary
Nuclear Imaging & Therapy Physician 207UN0902X 35.094750 OH

Addresses

Primary practice location

1815 Belmont Ave
Youngstown, OH 44504-1106

Mailing address

1815 Belmont Ave
Youngstown, OH 44504-1106
Phone (330) 740-9200

Other practice location 1

10701 East Blvd
Cleveland, OH 44106-1702
Phone (216) 791-3800

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
I20140628000126 OH Practitioner - Diagnostic Radiology 0749405017 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.094750OHMDNuclear Imaging & Therapy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince May 1, 2020 Accepting new patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
Lumina Imaging Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
The Metrohealth System Diagnostic Radiology CurrentSince May 1, 2020 Accepting new patients

Locations

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

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

10701 East Blvd
Cleveland, OH 44106
Phone (216) 791-2300

11100 Euclid Ave
Cleveland Heights, OH 44106

8401 Mentor Ave
Ste B
Mentor, OH 44060
Phone (440) 592-6095

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": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1629212584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041106",
            "telephone_number": "330-740-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041106",
            "telephone_number": "330-740-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10701 East Blvd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061702",
            "country_code": "US",
            "telephone_number": "216-791-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPIRTOS",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-22",
        "last_updated": "2023-10-16",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.094750",
            "primary": true
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "OH",
            "license": "35.094750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.