NPIMap

Individual provider Active NPI

Amanda Tiffany Lathia, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Cleveland, OH
National Provider Identifier
1790836187
Registry record updated Dec 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
095534 Issued in OH
Practice address
11100 Euclid Ave # B15
Cleveland, OH 44106-1716
Phone
(216) 844-8512
Fax
(216) 201-5152
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 095534 OH Primary

Addresses

Primary practice location

11100 Euclid Ave # B15
Cleveland, OH 44106-1716

Mailing address

11100 Euclid Ave # B15
Cleveland, OH 44106-1716
Phone (216) 844-8512

Other practice location 1

9500 Euclid Ave # DeskX10
Cleveland Clinic, Geriatric Medicine
Cleveland, OH 44195-0001
Phone (216) 444-0319

Other names 1

  • Amanda Marie Tiffany Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amandalathia@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
I20100817000083 OH Practitioner - Geriatric MedicinePractitioner - Internal Medicine 8820122666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Perelman School of Med at the University of Pennsylvania, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
Menorah Park Center for Senior LivingGroup PAC ID 3577469444, 79 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

27100 Cedar Rd
Beachwood, OH 44122-1109

Hospital & facility affiliations

  • University Hospital Home Care Services, Inc Home health agency, Warrensville HTS, OH, CCN 367424
  • Hospice of Greater Cleveland Hospice, Cleveland, OH, CCN 361671
  • Hospice of the Western Reserve, Inc Hospice, Cleveland, OH, CCN 361503
  • Hospice of the Western Reserve at University Hosp Hospice, Cleveland, OH, CCN 361678
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041
  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359
  • Lake Health Hospital, Concord, OH, CCN 360098
  • Judson Park Nursing home, Cleveland, OH, CCN 365870

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
095534OHMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince Sep 1, 2019 Accepting new patients
Multicare Health System PastSince Dec 13, 2020 Accepting new patients

Locations

3619 Park East Dr
Ste 109
Beachwood, OH 44122
Phone (216) 464-6210

9500 Euclid Ave
#10
Cleveland, OH 44195
Phone (216) 444-2336

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

11100 Euclid Ave
Cleveland Heights, OH 44106

Interoperability endpoints

  • Direct secure messaging: alathia36730@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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608940800000",
    "number": "1790836187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE # B15",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-8512",
            "fax_number": "216-201-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE # B15",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-8512",
            "fax_number": "216-201-5152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave # DeskX10",
            "address_2": "Cleveland Clinic, Geriatric Medicine",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "216-444-0319",
            "fax_number": "216-445-8762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATHIA",
        "first_name": "AMANDA",
        "middle_name": "TIFFANY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "095534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amandalathia@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "11100 Euclid Ave # B15",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441061716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "TIFFANY",
            "middle_name": "MARIE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.