Individual provider Active NPI

David A Eberlein, M.D.

  • Family Medicine Physician
  • Cleveland, OH
National Provider Identifier
1750499372
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35051557 Issued in OH
Practice address
18200 Lorain Ave
Center for Family Medicine
Cleveland, OH 44111-5605
Phone
(216) 476-7084
Fax
(216) 476-7604
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35051557 OH Primary

Addresses

Primary practice location

18200 Lorain Ave
Center for Family Medicine
Cleveland, OH 44111-5605

Mailing address

18200 Lorain Ave
Center for Family Medicine
Cleveland, OH 44111-5605
Phone (216) 476-7084

Other identifiers 1

IdentifierTypeStateIssuer
0620340MedicaidOH

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
I20101004001173 OH Practitioner - Family Practice 5193917516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1983
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)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35051557OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince Jan 1, 1999 Accepting new patients
Fairview Hospital CurrentSince Jan 1, 1999 Accepting new patients

Locations

36901 American Way
Avon, OH 44011
Phone (440) 930-6200

18200 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7088

10654 Lorain Ave
Cleveland, OH 44111
Phone (216) 941-1044

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

850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737

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 and National Provider Directory roles.

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1750499372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18200 LORAIN AVE",
            "address_2": "CENTER FOR FAMILY MEDICINE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115605",
            "telephone_number": "216-476-7084",
            "fax_number": "216-476-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18200 LORAIN AVE",
            "address_2": "CENTER FOR FAMILY MEDICINE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115605",
            "telephone_number": "216-476-7084",
            "fax_number": "216-476-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLEIN",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35051557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0620340",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.