NPIMap

Individual provider Active NPI

Anthony Miniaci, DO

  • Internal Medicine Physician
  • Independence, OH
National Provider Identifier
1679073001
Registry record updated Aug 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.014466 Issued in OH
Practice address
6150 Oak Tree Blvd Ste 100a
Independence, OH 44131-6917
Phone
(440) 743-8145
Fax
(216) 201-6382
NPI assigned
Feb 12, 2018
Last updated
Aug 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 34.014466 OH Primary

Addresses

Primary practice location

6150 Oak Tree Blvd Ste 100a
Independence, OH 44131-6917

Mailing address

6150 Oak Tree Blvd Ste 100a
Independence, OH 44131-6917
Phone (440) 743-8145

Other practice location 1

7007 Powers Blvd
Parma, OH 44129-5437
Phone (440) 840-0097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200810001734 OH Practitioner - Internal MedicinePractitioner - Infectious Disease 4789930843 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Regional Practices LLCGroup PAC ID 3779818638, 26 clinicians

Practice addresses (Care Compare)

15976 E High St
Suite 100
Middlefield, OH 44062-9474
Phone (440) 632-0770

6150 Oak Tree Blvd
Suite 100a
Independence, OH 44131-6917
Phone (440) 743-8145

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.24 of 100Reported as group
Quality
62.05
Promoting interoperability
100
Improvement activities
40
Cost
73.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.014466OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
North East Ohio Group Practice LLC Internal Medicine CurrentSince Dec 20, 2020 Accepting new patients
University Hospitals Regional Practices LLC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Hni Medical Services of Ohio, LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Community Hospitalist, LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Sep 1, 2022 Accepting new patients
University Primary Care Practices Inc Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
University Primary Care Practices Inc CurrentSince Oct 1, 2021 Accepting new patients
Arc Westlake Village SNF LLC Past Accepting new patients
Life Care Centers of America, Inc. Past Accepting new patients
Lutheran Home Past Accepting new patients
Rae-Ann Suburban, Inc. Past Accepting new patients
Main Street Care Center, LTD. Past Accepting new patients

Locations

11900 Fairhill Rd
Cleveland, OH 44120
Phone (216) 231-2344

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

6150 Oak Tree Blvd
Ste 100A
Independence, OH 44131
Phone (440) 743-8145

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

6990 Engle Rd
Middleburg Heights, OH 44130
Phone (440) 202-4200

15976 E High St
Ste 100
Middlefield, OH 44062
Phone (440) 632-0770

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

27100 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 585-6000

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

Interoperability endpoints

  • Direct secure messaging: aminiaci37535@ehrdirect.uhhospitals.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rae Ann SuburbanWestlake, OH, CCN 365845 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 17, 2022
May 17, 2022
Lutheran Home at Concord ReserveWestlake, OH, CCN 365020 Skilled nursing facility Adp of the SNF Jan 1, 2024
Affinity Care of Northern Ohio LLCMunroe Falls, OH, CCN 361725 Hospice W-2 Managing Employee Jun 22, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628985600000",
    "number": "1679073001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 OAK TREE BLVD STE 100A",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441316917",
            "telephone_number": "440-743-8145",
            "fax_number": "216-201-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 OAK TREE BLVD STE 100A",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441316917",
            "telephone_number": "440-743-8145",
            "fax_number": "216-201-6382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7007 Powers Blvd",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441295437",
            "country_code": "US",
            "telephone_number": "440-840-0097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINIACI",
        "first_name": "ANTHONY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-12",
        "last_updated": "2021-08-15",
        "certification_date": "2021-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.014466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.