Individual provider Active NPI

Alla Kirsch, MD

  • Family Medicine Physician
  • South Russell, OH
National Provider Identifier
1811007636
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-057038 Issued in OH
Practice address
5192 Chillicothe Road
Suite #101
South Russell, OH 44022
Phone
(440) 338-3366
Fax
(440) 338-3332
NPI assigned
Aug 30, 2006
Last updated
Jul 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-057038 OH Primary

Addresses

Primary practice location

5192 Chillicothe Road
Suite #101
South Russell, OH 44022

Mailing address

5192 Chillicothe Rd
Suite #101
Chagrin Falls, OH 44022-4196
Phone (440) 338-3366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080425000273 OH Practitioner - Family Practice 3072691468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

5192 Chillicothe Rd
Chagrin Falls, OH 44022-4196
Phone (440) 338-3336

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-057038OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Dec 14, 2016 Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations

36901 American Way
Avon, OH 44011
Phone (440) 930-6200

5192 Chillicothe Rd
Ste 101
Chagrin Falls, OH 44022
Phone (440) 338-3366

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

6803 Mayfield Rd
#401
Mayfield Hts, OH 44124
Phone (216) 451-7400

850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737

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 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1811007636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5192 CHILLICOTHE RD",
            "address_2": "SUITE #101",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440224196",
            "telephone_number": "440-338-3366",
            "fax_number": "440-338-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5192 CHILLICOTHE ROAD",
            "address_2": "SUITE #101",
            "city": "SOUTH RUSSELL",
            "state": "OH",
            "postal_code": "44022",
            "telephone_number": "440-338-3366",
            "fax_number": "440-338-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "ALLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-057038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Russell, OH

Sources for this page

Verify at the official NPI Registry.