David J. Novak, M.D.
Individual provider Active NPI Gastroenterology Physician · Ashtabula, OH
NPI 1669452256 · NPPES record last updated Apr 4, 2019
Key facts
- NPI
- 1669452256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- D0070916 (MD)
- Practice address
- 2420 Lake Ave
Ashtabula, OH 44004 - Phone
- (440) 997-2262
- Fax
- (440) 997-6507
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- State University of New York at Buffalo School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ashtabula County Medical Center
Practice addresses (Care Compare)
2112 Lake Ave
Ashtabula, OH 44004-3436
Phone (440) 997-6969
2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-6969
2422 Lake Ave
Ashtabula, OH 44004-4985
Phone (440) 997-6969
Hospital & facility affiliations
- Ashtabula County Medical Center
- Cleveland Clinic
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 132 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 128 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Ashtabula Regional Medical Center |
Hospital | W-2 Managing Employee | Feb 1, 2025 |
| Ashtabula Regional Medical Center |
Hospital | W-2 Managing Employee | Jan 1, 2024 |
| Acmc Regional Home Health |
Home health agency | Corporate Officer | Jan 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130228000347 | OH | Practitioner - Gastroenterology |
6204805484 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashtabula County Medical Center | Current |
Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Digestive Health Physicians, P.C. | Gastroenterology | Past | Accepting new patients |
| Summit Medical Group, Inc | Past | Accepting new patients |
Locations
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
2112 Lake Ave
Ashtabula, OH 44004
Phone (440) 998-0222
2422 Lake Ave
Ashtabula, OH 44004
Phone (440) 992-4422
Interoperability endpoints
- dnovak331299@direct.ccf.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | D0070916 | MD | Yes |
Addresses
Primary practice location
2420 Lake Ave
Ashtabula, OH 44004
Mailing address
2420 Lake Ave
Ashtabula, OH 44004-4970
Phone (440) 997-2262
Other practice location 1
2625 Harlem Rd
suite 240
Cheektowaga, NY 14225-4031
Phone (716) 895-4400
Other practice location 2
2112 Lake Ave
Ashtabula, OH 44004-3436
Phone (440) 997-2262
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0081101 | Medicaid | OH |
Other providers in Ashtabula, OH
- Kara Norman
- Leona Rae Norman
- Jacqueline G Norris
- North Shore Psychological Services LTD
- Nicole Marie Noscal
- Andrea Nunley
- Valerie Nye
- John Michael O'Toole
- Tara Jean Oakey-Kist
- Susie Obenour
All providers in Ashtabula, OH · Gastroenterology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.