NPIMap

Individual provider Active NPI

Gabriele Pedicelli, M.D.

  • Diagnostic Radiology Physician
  • Beachwood, OH
National Provider Identifier
1710068879
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35-063459 Issued in OH
Practice address
23625 Commerce Park
Suite 204
Beachwood, OH 44122-5845
Phone
(216) 255-5725
Fax
(866) 618-2917
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35-063459 OH Primary

Addresses

Primary practice location

23625 Commerce Park
Suite 204
Beachwood, OH 44122-5845

Mailing address

23625 Commerce Park
Suite 204
Beachwood, OH 44122-5845
Phone (216) 255-5725

Other identifiers 5

IdentifierTypeStateIssuer
300043195OtherRAILROAD MEDICARE
310851206015OtherMEDICAL MUTUAL OF OHIO
000000006781OtherANTHEM BC/BS
000000006781OtherANTHEM BC/BS-FEDERAL
0889454MedicaidOH

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
I20090717000417 OH Practitioner - Diagnostic Radiology 4789736018 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of South Carolina LLCGroup PAC ID 3779932959, 109 clinicians
West Virginia Radiology Associates PCGroup PAC ID 9133666431, 91 clinicians

Practice addresses (Care Compare)

3910 Tarrington LN
Columbus, OH 43220-6120
Phone (469) 757-1042

Hospital & facility affiliations

  • Wooster Community Hospital Hospital, Wooster, OH, CCN 360036
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Camc Greenbrier Valley Medical Center, Inc Hospital, Ronceverte, WV, CCN 510002

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-063459OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Radiology Associates PC Diagnostic Radiology CurrentSince Jul 29, 2025 Accepting new patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince Jan 20, 2026 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Feb 17, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Chillicothe Radiology Inc Diagnostic Radiology Past Accepting new patients

Locations

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1710068879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23625 COMMERCE PARK",
            "address_2": "SUITE 204",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225845",
            "telephone_number": "216-255-5725",
            "fax_number": "866-618-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23625 COMMERCE PARK",
            "address_2": "SUITE 204",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225845",
            "telephone_number": "216-255-5725",
            "fax_number": "866-618-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDICELLI",
        "first_name": "GABRIELE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-063459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300043195",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "310851206015",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000006781",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS-FEDERAL",
            "identifier": "000000006781",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0889454",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.