NPIMap

Individual provider Active NPI

Dennis Jurcevic, M.D.

  • Internal Medicine Physician
  • Willoughby, OH
National Provider Identifier
1780847632
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.098822 Issued in OH
Practice address
36100 Euclid Ave
Suite 210
Willoughby, OH 44094-4456
Phone
(440) 602-6770
Fax
(440) 975-0208
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 35.098822 OH
Internal Medicine Physician 207R00000X 35.098822 OH Primary

Addresses

Primary practice location

36100 Euclid Ave
Suite 210
Willoughby, OH 44094-4456

Mailing address

36000 Euclid Ave
Mso
Willoughby, OH 44094
Phone (440) 953-6082

Other identifiers 2

IdentifierTypeStateIssuer
0071447MedicaidOH
H117441OtherOHMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dennis.jurcevic@lhpg.eclinicaldirectplus.com Direct

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
I20120820000853 OH Practitioner - Sleep MedicinePractitioner - Internal Medicine 1052568466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

13207 Ravenna Rd
Chardon, OH 44024-7032
Phone (216) 383-0100

Hospital & facility affiliations

  • Lake Health Hospital, Concord, OH, CCN 360098
  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Uhhs Memorial Hospital of Geneva Hospital, Geneva, OH, CCN 361307
  • Uh Regional Hospitals Hospital, Chardon, OH, CCN 360075

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc Internal Medicine Current Accepting new patients
University Primary Care Practices Inc CurrentSince Jul 1, 2022 Accepting new patients
University Primary Care Practices Inc Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Lake Hospital System, Inc Internal Medicine CurrentSince Oct 1, 2012 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Past Accepting new patients
Lake Hospital System Inc Past Accepting new patients

Locations

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

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

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

9000 Mentor Ave
Ste 204
Mentor, OH 44060
Phone (440) 974-4211

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

36100 Euclid Ave
Ste 210
Willoughby, OH 44094
Phone (440) 602-6770

36100 Euclid Ave
Ste 240
Willoughby, OH 44094
Phone (216) 953-6294

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

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

Interoperability endpoints

  • Direct secure messaging: djurcevic36627@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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1780847632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36000 EUCLID AVE",
            "address_2": "MSO",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "440-953-6082",
            "fax_number": "440-953-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36100 EUCLID AVE",
            "address_2": "SUITE 210",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944456",
            "telephone_number": "440-602-6770",
            "fax_number": "440-975-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURCEVIC",
        "first_name": "DENNIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OH",
            "license": "35.098822",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.098822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071447",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H117441",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dennis.jurcevic@lhpg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Baseline West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "36100 Euclid Avenue",
            "address_2": "Suite 240",
            "city": "Willoughby",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

Verify at the official NPI Registry.