NPIMap

Individual provider Active NPI

Marie Kuchynski, MD

  • Internal Medicine Physician
  • Brunswick, OH
National Provider Identifier
1780764977
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35062472K Issued in OH
Practice address
4065 Center Rd Ste 210
Brunswick, OH 44212-5325
Phone
(330) 202-8411
Fax
(330) 202-9315
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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 35062472K OH Primary

Addresses

Primary practice location

4065 Center Rd Ste 210
Brunswick, OH 44212-5325

Mailing address

24701 Euclid Ave
Third Floor Billing Services
Euclid, OH 44117-1714
Phone (330) 220-8411

Other identifiers 1

IdentifierTypeStateIssuer
0188069MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mariekuchynski@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040122000947 OH Practitioner - RheumatologyPractitioner - Internal Medicine 0840192670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

14200 Ridge Rd
North Royalton, OH 44133-4972
Phone (216) 383-0100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35062472KOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Internal Medicine CurrentSince Apr 15, 1998 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Internal Medicine Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients
University Hospitals Regional Practices LLC Internal Medicine Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

88 Center Rd
Ste 360
Bedford, OH 44146
Phone (440) 232-8955

3909 Orange Pl
Ste 2300
Cleveland, OH 44122
Phone (216) 285-5041

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

14200 Ridge Rd
North Royalton, OH 44133
Phone (440) 582-6900

Interoperability endpoints

  • Direct secure messaging: mkuchynski@direct.swgeneral.com
  • Direct secure messaging: mkuchynskiburdick36821@ehrdirect.uhhospitals.org

Organizations & group practices 7

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1780764977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "THIRD FLOOR BILLING SERVICES",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "330-220-8411",
            "fax_number": "330-220-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 CENTER RD STE 210",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442125325",
            "telephone_number": "330-202-8411",
            "fax_number": "330-202-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHYNSKI",
        "first_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35062472K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0188069",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mariekuchynski@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "4065 Center Rd Ste 210",
            "city": "Brunswick",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442125325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brunswick, OH

Sources for this page

Verify at the official NPI Registry.