NPIMap

Individual provider Active NPI

David Wayne Drevna, M.D.

  • Urology Physician
  • Akron, OH
National Provider Identifier
1700270840
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35139250 Issued in OH
Practice address
525 E Market St
Akron, OH 44304-1619
Phone
(330) 535-5173
NPI assigned
Mar 26, 2015
Last updated
Jul 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35139250 OH Primary

Addresses

Primary practice location

525 E Market St
Akron, OH 44304-1619

Mailing address

7430 Southern Blvd
Boardman, OH 44512-5629
Phone (330) 729-9214

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
I20200617003297 OH Practitioner - Urology 7618278532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Northeastern Ohio University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neo Urology Associates IncGroup PAC ID 8628088036, 18 clinicians

Practice addresses (Care Compare)

7430 Southern Blvd
Boardman, OH 44512-5629
Phone (330) 729-9214

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35139250OHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Neo Urology Associates Inc Urology CurrentSince Jul 1, 2020 Accepting new patients
Dermatology Associates of Youngstown Inc PastSince Jul 1, 2020 Accepting new patients
Triad Health Services, LLC Urology Past Accepting new patients

Locations

6262 Mahoning Ave
Youngstown, OH 44515

6262 Mahoning Ave
Ste C
Youngstown, OH 44515
Phone 3307299214225

7430 Southern Blvd
Youngstown, OH 44512
Phone (330) 729-9214

Interoperability endpoints

  • Direct secure messaging: daviddrevna@neourology.medalliesdirect.net
  • Direct secure messaging: ddrevna474581@direct.ccf.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1700270840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 SOUTHERN BLVD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125629",
            "telephone_number": "330-729-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041619",
            "telephone_number": "330-535-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREVNA",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35139250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.