Individual provider Active NPI

John Joseph Ondrejka, MD

  • Internal Medicine Physician
  • Mentor, OH
National Provider Identifier
1770543159
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-055148 Issued in OH
Practice address
7956 Tyler Blvd
Mentor, OH 44060-4806
Phone
(440) 716-1283
Fax
(440) 716-1605
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-055148 OH Primary

Addresses

Primary practice location

7956 Tyler Blvd
Mentor, OH 44060-4806

Mailing address

510 5TH Ave
Chardon, OH 44024-1076
Phone (440) 286-8908

Other identifiers 7

IdentifierTypeStateIssuer
6600162OtherOHUNITED HEALTHCARE
2073581MedicaidOH
80507OtherOHQUALCHOICE
000000339419OtherOHANTHEM
264200000OtherOHDEPT OF LABOR
341425870042OtherOHMEDICAL MUTUAL OF OHIO
264200000OtherOHFEDERAL BLACK LUNG

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
I20040625000583 OH Practitioner - Internal Medicine 4385620889 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-055148OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc Internal Medicine Current Accepting new patients
Lake Hospital System Inc CurrentSince Jan 18, 2015 Accepting new patients
Lake Hospital System, Inc Internal Medicine CurrentSince Jan 18, 2015 Accepting new patients
Lake Hospital System, Inc Internal Medicine Past Accepting new patients
Lake Hospital System Inc. Past Accepting new patients
Lake Hospital System Inc. Internal Medicine Past Accepting new patients
Lake Hospital System Inc Past Accepting new patients
Lake Hospital System Past Accepting new patients

Locations

510 5th Ave
Chardon, OH 44024
Phone (440) 285-9494

7590 Auburn Rd
Ste 14
Concord Township, OH 44077
Phone (440) 354-1899

6270 N Ridge Rd
Madison, OH 44057
Phone (440) 428-8292

7956 Tyler Blvd
Mentor on Lk, OH 44060
Phone (440) 255-4455

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

30498 Lake Shore Blvd
Willowick, OH 44095
Phone (440) 585-3322

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770543159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 5TH AVE",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241076",
            "telephone_number": "440-286-8908",
            "fax_number": "440-279-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7956 TYLER BLVD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604806",
            "telephone_number": "440-716-1283",
            "fax_number": "440-716-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONDREJKA",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-055148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6600162",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2073581",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "80507",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000339419",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "264200000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "341425870042",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "264200000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.