Individual provider Active NPI

Megan Joann Moini, M.D.

  • Internal Medicine Physician
  • Beachwood, OH
National Provider Identifier
1790048759
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.135193 Issued in OH
Practice address
3619 Park East Dr Ste 108
Beachwood, OH 44122-4330
Phone
(216) 260-3550
Fax
(216) 265-5015
NPI assigned
Jun 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.135193 OH
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 35.135193 OH Primary
Internal Medicine Physician 207R00000X DR.0056952 CO

Addresses

Primary practice location

3619 Park East Dr Ste 108
Beachwood, OH 44122-4330

Mailing address

3619 Park East Dr Ste 108
Beachwood, OH 44122-4330
Phone (216) 260-3550

Other names 1

  • Megan Joann Coleman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2021 through Jan 1, 2027

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Case Western University School of Dental Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Menorah Park Center for Senior LivingGroup PAC ID 3577469444, 79 clinicians

Practice addresses (Care Compare)

27100 Cedar Rd
Beachwood, OH 44122-1109

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0056952COMDInternal Medicine Physician
35.135193OHMDRadiation Oncology Physician

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": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1790048759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 PARK EAST DR STE 108",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224330",
            "telephone_number": "216-260-3550",
            "fax_number": "303-269-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 PARK EAST DR STE 108",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224330",
            "telephone_number": "216-260-3550",
            "fax_number": "216-265-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOINI",
        "first_name": "MEGAN",
        "middle_name": "JOANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-24",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.135193",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.135193",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0056952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "COLEMAN",
            "middle_name": "JOANN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.