Individual provider Active NPI

Elisha Tzvi Fredman, MD

  • Radiation Oncology Physician
  • Ravenna, OH
National Provider Identifier
1740600022
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35.127081 Issued in OH
Practice address
13207 Chardon Road
Ravenna, OH 44024
Phone
(440) 285-6740
NPI assigned
Apr 24, 2014
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Radiation Oncology Physician 2085R0001X 35.127081 OH Primary

Addresses

Primary practice location

13207 Chardon Road
Ravenna, OH 44024

Mailing address

13207 Chardon Road
Ravenna, OH 44024
Phone (440) 285-6740

Other practice location 1

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-4486

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
I20190820004086 OH Practitioner - Radiation Oncology 1153659750 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.34 of 100Reported as group
Quality
69.17
Promoting interoperability
99
Improvement activities
40
Cost
75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Dec 12, 2024 Accepting new patients
University of Toledo Physicians LLC CurrentSince Aug 1, 2020 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Aug 1, 2019 Accepting new patients
Steward Medical Group Inc. CurrentSince Dec 12, 2024 Accepting new patients
University of Toledo Physicians LLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

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

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

11100 Euclid Ave
Cleveland Heights, OH 44106

L4189
Columbus, OH 43260

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

1325 Conference Dr
Toledo, OH 43614
Phone (419) 383-4541

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

1353 E Market St
Warren, OH 44483
Phone (330) 399-3222

Interoperability endpoints

  • Direct secure messaging: elishafredman@uhhs.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, 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": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1740600022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13207 CHARDON ROAD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "44024",
            "telephone_number": "440-285-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13207 CHARDON ROAD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "44024",
            "telephone_number": "440-285-6740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Metrohealth Dr",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441091900",
            "country_code": "US",
            "telephone_number": "216-778-4486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDMAN",
        "first_name": "ELISHA",
        "middle_name": "TZVI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-24",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35.127081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

Verify at the official NPI Registry.