Individual provider Active NPI

Suzanne Denise Debrosse, M.D.

  • Clinical Genetics (M.D.) Physician
  • Cleveland, OH
National Provider Identifier
1720293160
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
35.094127 Issued in OH
Practice address
11100 Euclid Ave
Lakeside 1500
Cleveland, OH 44106-1716
Phone
(216) 844-3936
Fax
(216) 844-7497
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35-094127 OH
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 35.094127 OH
Clinical Genetics (M.D.) Physician 207SG0201X 35.094127 OH Primary

Addresses

Primary practice location

11100 Euclid Ave
Lakeside 1500
Cleveland, OH 44106-1716

Mailing address

24701 Euclid Ave
3Rd Floor
Euclid, OH 44117-1714

Other identifiers 6

IdentifierTypeStateIssuer
000000725150OtherANTHEM
35.094127OtherOHLICENSE
9648753OtherAETNA
609409OtherOHWELLCARE
0056505MedicaidOH
2048816199EROtherOHCARESOURCE

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address suzannedebrosse@uhps.allscriptsdirect.net
Direct Messaging Address suzannedebrosse@uhps.allscriptsdirect.net
Direct Messaging Address suzannedebrosse@uhps.allscriptsdirect.net
Direct Messaging Address suzannedebrosse@uhps.allscriptsdirect.net
Direct Messaging Address suzannedebrosse@uhps.allscriptsdirect.net

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
I20110713000264 OH Practitioner - Pediatric MedicinePractitioner - Medical Genetics and Genomics 4789852054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Medical Genetics and Genomics
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

Hospital & facility affiliations

  • Rainbow Babies and Childrens Hospital Hospital, Cleveland, OH, CCN 363302

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-094127OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Clinical Genetics (M.D.) CurrentSince Jul 1, 2011 Accepting new patients
Multicare Health System Past Accepting new patients

Locations

11100 Euclid Ave
#1500
Cleveland, OH 44106
Phone (216) 844-3936

11100 Euclid Ave
Cleveland Heights, OH 44106

24701 Euclid Ave
Fl 3
Euclid, OH 44117
Phone (216) 383-6950

20800 Harvard Rd
Fl 2
Highland Hills, OH 44122
Phone (216) 358-2156

4001 Carrick Dr
Ste 220
Medina, OH 44256
Phone (330) 721-8522

9000 Mentor Ave
Ste 100
Mentor, OH 44060
Phone (440) 974-4411

34055 Solon Rd
Ste 200
Solon, OH 44139
Phone (440) 914-7840

34055 Solon Rd
Ste 204
Solon, OH 44139
Phone (216) 791-0017

1611 S Green Rd
Ste 204
South Euclid, OH 44121
Phone (216) 381-3880

Interoperability endpoints

  • Direct secure messaging: sdebrosse36469@ehrdirect.uhhospitals.org

Organizations & group practices 2

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 2

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1720293160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "3RD FLOOR",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "address_2": "LAKESIDE 1500",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-3936",
            "fax_number": "216-844-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBROSSE",
        "first_name": "SUZANNE",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-094127",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "OH",
            "license": "35.094127",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "OH",
            "license": "35.094127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000725150",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "35.094127",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9648753",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "609409",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056505",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "2048816199ER",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzannedebrosse@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1611 S Green Rd Ste 204",
            "city": "South Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441214123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzannedebrosse@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "4001 Carrick Dr Ste 220",
            "city": "Medina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442565393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzannedebrosse@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "11100 Euclid Ave",
            "address_2": "Lakeside 1500",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441061716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzannedebrosse@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "9000 Mentor Ave Ste 100",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440604496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzannedebrosse@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "34055 Solon Rd Ste 204",
            "city": "Solon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441392663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.