Individual provider Active NPI

Arksarapuk Jittirat, M.D.

  • Nephrology Physician
  • Cleveland, OH
National Provider Identifier
1770748147
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35.129509 Issued in OH
Practice address
11100 Euclid Ave
Suite Mather 1800
Cleveland, OH 44106-1716
Phone
(216) 844-5685
Fax
(216) 910-6208
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A116024 CA
Nephrology Physician 207RN0300X MD-17725 HI
Nephrology Physician 207RN0300X 35.129509 OH Primary

Addresses

Primary practice location

11100 Euclid Ave
Suite Mather 1800
Cleveland, OH 44106-1716

Mailing address

11100 Euclid Ave
Suite Mather 1800
Cleveland, OH 44106-1716
Phone (216) 844-5685

Other practice location 1

Vanderbilt University Medical Ctr
1161 21st Ave. S., MCN S-3307
Nashville, TN 37232-0001
Phone (615) 343-6105

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Arksarapuk.Jittirat@UHhospitals.org

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
I20170908002587 OH Practitioner - Nephrology 7012137797 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

145 W Ave
Tallmadge, OH 44278-2250
Phone (330) 633-8341

960 Clague Rd
Suite 2420
Westlake, OH 44145-1582
Phone (216) 844-5661

Hospital & facility affiliations

  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145
  • Lake Health Hospital, Concord, OH, CCN 360098
  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041
  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116024CAMDNephrology Physician
35.129509OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince Aug 1, 2017 Accepting new patients
Partners in Nephrology Care LTD. Nephrology CurrentSince Oct 26, 2017 Accepting new patients
Multicare Health System Past Accepting new patients

Locations

11100 Euclid Ave
#1800
Cleveland, OH 44106
Phone (216) 844-1465

11100 Euclid Ave
Cleveland Heights, OH 44106

20800 Harvard Rd
Fl 2
Highland Hills, OH 44122
Phone (216) 358-2156

18720 Chagrin Blvd
Shaker Heights, OH 44122
Phone (216) 295-7003

Interoperability endpoints

  • Direct secure messaging: ajittirat36562@ehrdirect.uhhospitals.org

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 8

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": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1770748147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "address_2": "SUITE MATHER 1800",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-5685",
            "fax_number": "216-910-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "address_2": "SUITE MATHER 1800",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-5685",
            "fax_number": "216-910-6208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Vanderbilt University Medical Ctr",
            "address_2": "1161 21st Ave. S., MCN S-3307",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372320001",
            "country_code": "US",
            "telephone_number": "615-343-6105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JITTIRAT",
        "first_name": "ARKSARAPUK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A116024",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "MD-17725",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35.129509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Arksarapuk.Jittirat@UHhospitals.org",
            "affiliation": "N",
            "address_1": "11100 Euclid Ave.",
            "address_2": "Suite Mather 1800",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.