NPIMap

Individual provider Active NPI

Dominic S. Lefoer, M.D.

  • Family Medicine Physician
  • Streetsboro, OH
National Provider Identifier
1700981479
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-067754 Issued in OH
Practice address
9318 State Route 14
Streetsboro, OH 44241-5224
Phone
(330) 626-3111
Fax
(330) 626-5978
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-067754 OH Primary

Addresses

Primary practice location

9318 State Route 14
Streetsboro, OH 44241-5224

Mailing address

8018 Meadowbrooke TRL
Poland, OH 44514-5326
Phone (330) 707-0939

Other identifiers 1

IdentifierTypeStateIssuer
2190696MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dominiclefoer@uhps.allscriptsdirect.net

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
I20041102000578 OH Practitioner - Family Practice 7719949734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

158 W Main Rd
Conneaut, OH 44030-2039

9318 State Route 14
Streetsboro, OH 44241-5224

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-067754OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Jan 1, 2016 Accepting new patients
University Primary Care Practices Inc Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
University Primary Care Practices Past Accepting new patients
Prima Health Care LLC Past Accepting new patients

Locations

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

9318 State Route 14
Fl 3
Streetsboro, OH 44241
Phone (330) 422-0916

9318 State Route 14
Fl 2
Streetsboro, OH 44241
Phone (330) 626-3111

Interoperability endpoints

  • Direct secure messaging: dlefoer21197@ehrdirect.uhhospitals.org

Organizations & group practices 5

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 6

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1700981479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8018 MEADOWBROOKE TRL",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445145326",
            "telephone_number": "330-707-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9318 STATE ROUTE 14",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415224",
            "telephone_number": "330-626-3111",
            "fax_number": "330-626-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFOER",
        "first_name": "DOMINIC",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-067754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2190696",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dominiclefoer@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "9318 State Route 14",
            "city": "Streetsboro",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442415224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Streetsboro, OH

Sources for this page

Verify at the official NPI Registry.