Individual provider Active NPI

Irena Kodz, MD

  • Internal Medicine Physician
  • Strongsville, OH
National Provider Identifier
1669431276
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35073722K Issued in OH
Practice address
18181 Pearl Rd Ste A206
Strongsville, OH 44136-6950
Phone
(440) 816-5220
Fax
(440) 816-5221
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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 35073722K OH Primary

Addresses

Primary practice location

18181 Pearl Rd Ste A206
Strongsville, OH 44136-6950

Mailing address

18181 Pearl Rd Ste A206
Strongsville, OH 44136-6950
Phone (440) 816-5220

Other practice location 1

7215 Old Oak Blvd Ste A416
Cleveland, OH 44130-3377
Phone (440) 816-2690

Other identifiers 1

IdentifierTypeStateIssuer
2108874MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ikodz@direct.swgeneral.com Southwest General Medical Group, Inc.
Direct Messaging Address ikodz@direct.swgeneral.com Southwest General Medical Group Inc

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
I20080917000495 OH Practitioner - Internal Medicine 2769559707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

18181 Pearl Rd
A206
Strongsville, OH 44136-6950
Phone (440) 816-5220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35073722KOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest General Medical Group, Inc. CurrentSince Aug 25, 2008 Accepting new patients
Southwest General Medical Group Inc Internal Medicine Current Accepting new patients
Southwest General Medical Group Inc CurrentSince Aug 25, 2008 Accepting new patients

Locations

7215 Old Oak Blvd
Ste A416
Middleburg Heights, OH 44130
Phone (440) 816-2690

7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390

7255 Old Oak Blvd
Ste C412
Middleburg Heights, OH 44130
Phone (440) 816-4546

18181 Pearl Rd
Ste A206
Strongsville, OH 44136
Phone (440) 816-4980

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 3

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1669431276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18181 PEARL RD STE A206",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366950",
            "telephone_number": "440-816-5220",
            "fax_number": "440-816-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 PEARL RD STE A206",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366950",
            "telephone_number": "440-816-5220",
            "fax_number": "440-816-5221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7215 Old Oak Blvd Ste A416",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441303377",
            "country_code": "US",
            "telephone_number": "440-816-2690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KODZ",
        "first_name": "IRENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35073722K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2108874",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ikodz@direct.swgeneral.com",
            "affiliation": "Y",
            "affiliationName": "Southwest General Medical Group, Inc.",
            "address_1": "18181 Pearl Rd Ste A206",
            "city": "Strongsville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441366950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ikodz@direct.swgeneral.com",
            "affiliation": "Y",
            "affiliationName": "Southwest General Medical Group Inc",
            "address_1": "7215 Old Oak Blvd Ste A416",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441303377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.