NPIMap

Individual provider Active NPI

Tannaz Asadi, M.D.

  • Infectious Disease Physician
  • Cleveland, OH
National Provider Identifier
1790122893
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
35.128083 Issued in OH
Practice address
3609 Park East Dr Ste 207
Cleveland, OH 44122
Phone
(216) 360-0456
Fax
(216) 360-9449
NPI assigned
May 29, 2013
Last updated
May 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57.022435 OH
Infectious Disease Physician 207RI0200X 35.128083 OH Primary

Addresses

Primary practice location

3609 Park East Dr Ste 207
Cleveland, OH 44122

Mailing address

3609 Park East Dr Ste 207
Beachwood, OH 44122-4309
Phone (216) 360-0456

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
I20180417001612 OH Practitioner - Infectious DiseasePractitioner - Internal Medicine 3577826924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Id Consultants of Northeast Ohio IncGroup PAC ID 1355747882, 17 clinicians

Practice addresses (Care Compare)

3609 Park E Dr
Suite 207
Beachwood, OH 44122-4309
Phone (216) 360-0456

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.022435OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Id Consultants of Northeast Ohio, Inc Infectious Disease CurrentSince Aug 1, 2021 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients

Locations

3609 Park East Dr
Ste 207
Cleveland, OH 44122
Phone (216) 360-9480

2211 Crocker Rd
Ste 170
Westlake, OH 44145
Phone (216) 360-9480

Interoperability endpoints

  • Direct secure messaging: tasadi242510@direct.ccf.org
  • Direct secure messaging: tasadi35966@ehrdirect.uhhospitals.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1790122893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 PARK EAST DR STE 207",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224309",
            "telephone_number": "216-360-0456",
            "fax_number": "216-360-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 PARK EAST DR STE 207",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-360-0456",
            "fax_number": "216-360-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASADI",
        "first_name": "TANNAZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.022435",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35.128083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.