Individual provider Active NPI

Douglas J Ripkin, M.D.

  • Ophthalmology Physician
  • Streetsboro, OH
National Provider Identifier
1750338315
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35046927 Issued in OH
Practice address
9424 State Route 14
Streetsboro, OH 44241-5226
Phone
(330) 422-1111
Fax
(330) 422-1110
NPI assigned
May 28, 2006
Last updated
Oct 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35046927 OH Primary

Addresses

Primary practice location

9424 State Route 14
Streetsboro, OH 44241-5226

Mailing address

9424 State Route 14
Streetsboro, OH 44241-5226
Phone (330) 422-1111

Other identifiers 2

IdentifierTypeStateIssuer
P00966613OtherOHRAILROAD MEDICARE
0696582MedicaidOH

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
I20040922000011 OH Practitioner - Ophthalmology 8527039015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

8701 Darrow Rd
Twinsburg, OH 44087-2105
Phone (330) 888-4000

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9424 State Route 14
Streetsboro, OH 44241-5226
Phone (330) 422-1111

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35046927OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Mar 14, 2018 Accepting new patients
The Cleveland Clinic Foundation Ophthalmology Past Accepting new patients

Locations

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

9424 State Route 14
Streetsboro, OH 44241
Phone (330) 422-1111

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1750338315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9424 STATE ROUTE 14",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415226",
            "telephone_number": "330-422-1111",
            "fax_number": "330-422-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9424 STATE ROUTE 14",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415226",
            "telephone_number": "330-422-1111",
            "fax_number": "330-422-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPKIN",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35046927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00966613",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0696582",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Streetsboro, OH

Sources for this page

Verify at the official NPI Registry.