Individual provider Active NPI

Thomas I Janicki, MD

  • Obstetrics & Gynecology Physician
  • South Euclid, OH
National Provider Identifier
1730285248
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35042732 Issued in OH
Practice address
1611 S Green Rd Ste 216
South Euclid, OH 44121-4123
Phone
(216) 383-0100
Fax
(216) 383-6481
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35042732 OH Primary

Addresses

Primary practice location

1611 S Green Rd Ste 216
South Euclid, OH 44121-4123

Mailing address

PO Box 74521
Cleveland, OH 44194-0002
Phone (216) 381-2223

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thomasjanicki@UHPS.allscriptsdirect.net Health Information Exchange (HIE)

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
I20100603000945 OH Practitioner - Obstetrics/Gynecology 5395874168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

1611 S Green Rd
Suite 216
South Euclid, OH 44121-4123
Phone (216) 381-2223

Hospital & facility affiliations

  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35042732OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Obstetrics & Gynecology CurrentSince Aug 1, 2020 Accepting new patients
University Primary Care Practices Inc Obstetrics & Gynecology CurrentSince Nov 1, 2002 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Past Accepting new patients
University Hospitals Regional Practices LLC Past Accepting new patients

Locations

1000 Auburn Dr
Ste 340
Beachwood, OH 44122
Phone (216) 381-2223

3909 Orange Pl
Ste 2500
Beachwood, OH 44122
Phone (216) 831-5080

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

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 216
South Euclid, OH 44121
Phone (216) 381-2223

Interoperability endpoints

  • Direct secure messaging: tjanicki35986@ehrdirect.uhhospitals.org
  • Direct secure messaging: thomasjanicki@uhps.allscriptsdirect.net

Organizations & group practices 5

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1730285248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74521",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441940002",
            "telephone_number": "216-381-2223",
            "fax_number": "216-381-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S GREEN RD STE 216",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214123",
            "telephone_number": "216-383-0100",
            "fax_number": "216-383-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANICKI",
        "first_name": "THOMAS",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35042732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomasjanicki@UHPS.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1611 S Green Rd Ste 216",
            "city": "South Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441214123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Euclid, OH

Sources for this page

Verify at the official NPI Registry.