NPIMap

Individual provider Active NPI

Justin Paul Rondinelli, M.D.

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1710410477
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.141366 Issued in OH
Practice address
1611 S Green Rd Ste 260
Cleveland, OH 44121-4192
Phone
(216) 237-5011
Fax
(216) 297-2066
NPI assigned
Apr 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.141366 OH
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 35.141366 OH
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 35.141366 OH Primary

Addresses

Primary practice location

1611 S Green Rd Ste 260
Cleveland, OH 44121-4192

Mailing address

1611 S Green Rd Ste 260
Cleveland, OH 44121-4192
Phone (216) 237-5011

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
I20210519003091 OH Practitioner - Pediatric MedicinePractitioner - Internal MedicinePractitioner - Emergency Medicine 6305117029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
Menorah Park Center for Senior LivingGroup PAC ID 3577469444, 79 clinicians
King David Aquatic Center LLCGroup PAC ID 3870038714, 15 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

158 W Main Rd
Conneaut, OH 44030-2039

1611 S Green Rd
Suite 065
South Euclid, OH 44121-4129
Phone (216) 383-0100

27100 Cedar Rd
Beachwood, OH 44122-1109

27300 Cedar Rd
Beachwood, OH 44122-1110
Phone (216) 831-6500

Hospital & facility affiliations

  • University Hospital Home Care Services, Inc Home health agency, Warrensville HTS, OH, CCN 367424
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359
  • Lake Health Hospital, Concord, OH, CCN 360098
  • Uh Regional Hospitals Hospital, Chardon, OH, CCN 360075
  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.141366OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Pediatrics CurrentSince Jul 1, 2021 Accepting new patients
University Primary Care Practices Inc CurrentSince Aug 1, 2022 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Pediatrics CurrentSince Aug 1, 2022 Accepting new patients
University Primary Care Practices Pediatrics Past Accepting new patients

Locations

11100 Euclid Ave
Ste 3400
Cleveland, OH 44106

11100 Euclid Ave
Cleveland Heights, OH 44106

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

1611 S Green Rd
Ste 260
South Euclid, OH 44121
Phone (216) 291-2025

Interoperability endpoints

  • Direct secure messaging: jrondinelli35859@ehrdirect.uhhospitals.org

Organizations & group practices 6

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 9

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": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1710410477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S GREEN RD STE 260",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441214192",
            "telephone_number": "216-237-5011",
            "fax_number": "216-297-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S GREEN RD STE 260",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441214192",
            "telephone_number": "216-237-5011",
            "fax_number": "216-297-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDINELLI",
        "first_name": "JUSTIN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-09",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.141366",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "OH",
            "license": "35.141366",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.141366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.