NPIMap

Individual provider Active NPI

Katarzyna Hause-Wardega, M.D.

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1720019649
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.076252 Issued in OH
Practice address
2475 E 22ND St Ste 110
Cleveland, OH 44115-3221
Phone
(216) 363-2556
Fax
(216) 331-7063
NPI assigned
Jul 6, 2006
Last updated
Jan 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.076252 OH Primary

Addresses

Primary practice location

2475 E 22ND St Ste 110
Cleveland, OH 44115-3221

Mailing address

PO Box 378
Sandusky, OH 44871-0378
Phone (419) 626-6161

Other identifiers 1

IdentifierTypeStateIssuer
2341611MedicaidOH

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
I20100917000514 OH Practitioner - Internal Medicine 9739204462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2475 E 22ND St
Suite 110
Cleveland, OH 44115-3221
Phone (216) 363-2556

3004 Hayes Ave
Sandusky, OH 44870-5321
Phone (419) 609-1112

6800 Ridge Rd
Parma, OH 44129-5627
Phone (440) 842-1744

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC Multi-Specialty CurrentSince Dec 11, 2019 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Dec 11, 2019 Accepting new patients
Regina Health Center Past Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

2322 E 22nd St
Ste 306
Cleveland, OH 44115
Phone (216) 241-8654

2475 E 22nd St
Ste 110
Cleveland, OH 44115
Phone (216) 363-2556

6800 Ridge Rd
Parma, OH 44129
Phone (440) 842-1744

6820 Ridge Rd
Parma, OH 44129
Phone (440) 842-1570

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

Interoperability endpoints

  • Direct secure messaging: khausewardega20287@nomshealthcare.direct-ci.com
  • Direct secure messaging: khausewardega222821@ehrdirect.uhhospitals.org
  • Direct secure messaging: kwardega@atassociates123.mdsuitedirect.com

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 11

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1720019649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-626-6161",
            "fax_number": "419-502-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 E 22ND ST STE 110",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153221",
            "telephone_number": "216-363-2556",
            "fax_number": "216-331-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSE-WARDEGA",
        "first_name": "KATARZYNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.076252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2341611",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.