NPIMap

Organization Active NPI

Ohio Chest Physicians LTD

  • Pulmonary Disease Physician
  • Cleveland, OH
National Provider Identifier
1750337036
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
OHIO CHEST PHYSICIANS LTD
Practice address
15805 Puritas Ave
Cleveland, OH 44135-2611
Phone
(216) 267-5139
Fax
(216) 267-5133
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Olga Gorkavchuk
Title
Interim Practice Manager
Phone
(216) 267-5139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

15805 Puritas Ave
Cleveland, OH 44135-2611

Mailing address

PO Box 932085
Cleveland, OH 44193-0007
Phone (330) 400-5437

Other identifiers 6

IdentifierTypeStateIssuer
CD6683OtherOHRAILROAD MEDICARE
DB6758OtherOHRAILROAD MEDICARE
CD4623OtherOHRAILROAD MEDICARE
CD4624OtherOHRAILROAD MEDICARE
CD4625OtherOHRAILROAD MEDICARE
2001738MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031204000479 OH Part B Supplier - Clinic/Group Practice 3375448129 Receives reassigned benefits from 2 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cleveland, OH; Westlake, OH

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1750337036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932085",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930007",
            "telephone_number": "330-400-5437",
            "fax_number": "330-546-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15805 PURITAS AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441352611",
            "telephone_number": "216-267-5139",
            "fax_number": "216-267-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO CHEST PHYSICIANS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "GORKAVCHUK",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "INTERIM PRACTICE MANAGER",
        "authorized_official_telephone_number": "216-267-5139"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD6683",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB6758",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD4623",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD4624",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD4625",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2001738",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.