Individual provider Active NPI

Ross Charles Lubrani, D.C

  • Chiropractor
  • Elyria, OH
National Provider Identifier
1720080526
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3399 Issued in OH
Practice address
710 Leona St
Elyria, OH 44035-2349
Phone
(440) 324-0092
Fax
(440) 324-0093
NPI assigned
Aug 11, 2005
Last updated
May 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3399 OH Primary

Addresses

Primary practice location

710 Leona St
Elyria, OH 44035-2349

Mailing address

710 Leona St
Elyria, OH 44035-2349
Phone (440) 324-0092

Other identifiers 1

IdentifierTypeStateIssuer
2383317MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070911000051 OH Practitioner - Chiropractic 8527151315 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3399OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Xcell Medical Group CurrentSince Jun 24, 2014 Accepting new patients
Elite Performance Physical Therapy LLC PastSince Nov 1, 2011 Accepting new patients

Locations

710 Leona St
Elyria, OH 44035
Phone (440) 324-0092

710A Leona St
Elyria, OH 44035
Phone (440) 324-0092

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.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1720080526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 LEONA ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352349",
            "telephone_number": "440-324-0092",
            "fax_number": "440-324-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LEONA ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352349",
            "telephone_number": "440-324-0092",
            "fax_number": "440-324-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBRANI",
        "first_name": "ROSS",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2383317",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.