Individual provider Active NPI

Mary Katherine Carneval, D.O.

  • Surgery Physician
  • Cleveland, OH
National Provider Identifier
1770787301
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34-009264 Issued in OH
Practice address
12301 Snow Road
Department of General Surgery
Cleveland, OH 44130
Phone
(216) 362-2262
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 34-009264 OH Primary

Addresses

Primary practice location

12301 Snow Road
Department of General Surgery
Cleveland, OH 44130

Mailing address

12301 Snow Road
Department of General Surgery
Cleveland, OH 44130
Phone (216) 362-2262

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
I20110317000946 OH Practitioner - General Surgery 0941483697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Kansas City University of Physicians and Surgeons, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

12300 McCracken Rd
Garfield Heights, OH 44125-2914

18901 Lake Shore Blvd
Euclid, OH 44119-1078
Phone (216) 531-9000

20000 Harvard Ave
Warrensville Heights, OH 44122-6805
Phone (216) 491-7396

2550 Som Ctr Rd
Willoughby Hills, OH 44094-9655
Phone (440) 943-2500

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

9500 Euclid Ave
Cleveland, OH 44195-0001

99 Northline Cir
Euclid, OH 44119-1481

99 Northline Circle
Euclid, OH 44119-1481

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy13
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-009264OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Mar 9, 2016 Accepting new patients

Locations

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

18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000

99 Northline Cir
Euclid, OH 44119
Phone (216) 831-4300

12300 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 581-0500

12301 Snow Rd
Parma Heights, OH 44130
Phone (216) 285-8810

2550 Som Center Rd
Willoughby Hills, OH 44094
Phone (440) 516-8620

Organizations & group practices 1

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 5

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1770787301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 SNOW ROAD",
            "address_2": "DEPARTMENT OF GENERAL SURGERY",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "216-362-2262",
            "fax_number": "440-879-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 SNOW ROAD",
            "address_2": "DEPARTMENT OF GENERAL SURGERY",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "216-362-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEVAL",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34-009264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.