Individual provider Active NPI

Adetokunbo O Esho, M.D.

  • Internal Medicine Physician
  • Lakewood, OH
National Provider Identifier
1730139338
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-076537 Issued in OH
Practice address
14519 Detroit Ave
Lakewood, OH 44107-4316
Phone
(216) 521-4200
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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 35-076537 OH Primary

Addresses

Primary practice location

14519 Detroit Ave
Lakewood, OH 44107-4316

Mailing address

PO Box 951101
Cleveland, OH 44193-0005
Phone (440) 879-0081

Other identifiers 2

IdentifierTypeStateIssuer
2191499MedicaidOH
000000133597OtherOHANTHEM

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
I20041110000724 OH Practitioner - Internal Medicine 7012970098 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
Hni Medical Services of Ohio, LLCGroup PAC ID 1759620735, 40 clinicians
North East Ohio Group Practice LLCGroup PAC ID 8426960618, 22 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

13207 Ravenna Rd
Chardon, OH 44024-7032
Phone (440) 285-6000

18697 Bagley Rd
Middlebrg HTS, OH 44130-3417
Phone (440) 816-8000

2351 E 22ND St
Cleveland, OH 44115-3111
Phone (216) 861-6200

36000 Euclid Ave
Willoughby, OH 44094-4625
Phone (216) 844-3800

3999 Richmond Rd
Beachwood, OH 44122-6046
Phone (216) 593-5500

Hospital & facility affiliations

  • Uh Regional Hospitals Hospital, Chardon, OH, CCN 360075
  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155
  • Lake Health Hospital, Concord, OH, CCN 360098
  • Uhhs Memorial Hospital of Geneva Hospital, Geneva, OH, CCN 361307
  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-076537OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North East Ohio Group Practice LLC Internal Medicine CurrentSince Oct 1, 2006 Accepting new patients
Hni Medical Services of Ohio, LLC Internal Medicine CurrentSince Jan 9, 2019 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jan 1, 2017 Accepting new patients
Uhhs Bedford Internal Medicine Past Accepting new patients
Southwest Medical Care Corporation Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations

44 Blaine Ave
Cleveland, OH 44146
Phone (330) 528-3593

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

11900 Fairhill Rd
Cleveland, OH 44120
Phone (216) 231-2344

11100 Euclid Ave
Cleveland Heights, OH 44106

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

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

4110 Warrensville Center Rd
Warrensvl Hts, OH 44122
Phone (216) 491-6552

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

Interoperability endpoints

  • Direct secure messaging: aesho@direct.swgeneral.com
  • Direct secure messaging: aesho37380@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 5

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1730139338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951101",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930005",
            "telephone_number": "440-879-0081",
            "fax_number": "440-879-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14519 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074316",
            "telephone_number": "216-521-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHO",
        "first_name": "ADETOKUNBO",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-076537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2191499",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000133597",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

Verify at the official NPI Registry.