Individual provider Active NPI

Ira Taub, M.D.

  • Pediatric Cardiology Physician
  • Beachwood, OH
National Provider Identifier
1710191630
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
35.095128 Issued in OH
Practice address
3733 Park East Dr Ste 230
Beachwood, OH 44122-4338
Phone
(330) 543-8520
Fax
(330) 543-3850
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NONE OH
Pediatric Cardiology Physician 2080P0202X 35.095128 OH Primary

Addresses

Primary practice location

3733 Park East Dr Ste 230
Beachwood, OH 44122-4338

Mailing address

1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 543-8521

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address itaub24840@direct.chmca.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130805000201 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 8921240961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 543-1000

One Perkins Square
Akron, OH 44308-1063
Phone (330) 543-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.095128OHMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Medical Center of Akron CurrentSince Jun 19, 2013 Accepting new patients
The Metrohealth System Current Accepting new patients
The Metrohealth System CurrentSince Jul 30, 2013 Accepting new patients
Children's Hospital Medical Center of Akron Current Accepting new patients
Akron Children's Hospital Current Accepting new patients
The Metrohealth System Pediatrics CurrentSince Jul 30, 2013 Accepting new patients
Children's Hospital Medical Center of Akron Pediatrics CurrentSince Jun 19, 2013 Accepting new patients

Locations

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

3733 Park East Dr
Ste 230
Beachwood, OH 44122
Phone (216) 896-0351

23250 Chagrin Blvd
Ste 325
Beachwood, OH 44122
Phone (216) 896-0351

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

Interoperability endpoints

  • Direct secure messaging: itaub63278@direct.metrohealth.org

Organizations & group practices 7

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 1

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1710191630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-543-8521",
            "fax_number": "330-543-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 PARK EAST DR STE 230",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224338",
            "telephone_number": "330-543-8520",
            "fax_number": "330-543-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUB",
        "first_name": "IRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "NONE",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "OH",
            "license": "35.095128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "itaub24840@direct.chmca.org",
            "affiliation": "N",
            "address_1": "3733 Park East Dr Ste 230",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441224338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.