Individual provider Active NPI

Michael Patrick Brown, DO

  • Vascular Surgery Physician
  • Cleveland, OH
National Provider Identifier
1811079379
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
34-007576 Issued in OH
Practice address
7255 Old Oak Blvd Ste C108
Cleveland, OH 44130-3329
Phone
(440) 816-2786
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 34-007576 OH Primary

Addresses

Primary practice location

7255 Old Oak Blvd Ste C108
Cleveland, OH 44130-3329

Mailing address

13207 Ravenna Rd
Chardon, OH 44024-7032
Phone (440) 285-6975

Other identifiers 1

IdentifierTypeStateIssuer
279013100MedicaidFL

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address michaelpbrown@uhps.allscriptsdirect.net
Direct Messaging Address michaelpbrown@uhps.allscriptsdirect.net
Direct Messaging Address mbrown@direct.swgeneral.com Southwest General Medical Group, Inc.

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
I20151006003032 OH Practitioner - Vascular Surgery 4880787548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7255 Old Oak Blvd
C108
Middleburg Heights, OH 44130-3329
Phone (440) 816-2786

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.06 of 100Reported as group
Quality
63.56
Promoting interoperability
100
Improvement activities
40
Cost
73.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)26
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-007576OHMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
Southwest General Medical Group Inc Vascular Surgery CurrentSince Feb 1, 2022 Accepting new patients
University Primary Care Practices Inc CurrentSince Sep 1, 2015 Accepting new patients
Southwest General Medical Group Inc CurrentSince Feb 1, 2022 Accepting new patients

Locations

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-6000

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

970 E Washington St
Ste 2E
Medina, OH 44256
Phone (216) 722-8707

7255 Old Oak Blvd
Ste C108
Middleburg Heights, OH 44130
Phone (440) 816-2786

7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390

Interoperability endpoints

  • Direct secure messaging: mbrown@direct.swgeneral.com

Organizations & group practices 4

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 3

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1811079379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13207 RAVENNA RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247032",
            "telephone_number": "440-285-6975",
            "fax_number": "216-201-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 OLD OAK BLVD STE C108",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303329",
            "telephone_number": "440-816-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "34-007576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279013100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaelpbrown@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "13207 Ravenna Rd",
            "city": "Chardon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440247032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaelpbrown@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "7500 Auburn Rd",
            "city": "Concord Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440779602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbrown@direct.swgeneral.com",
            "affiliation": "Y",
            "affiliationName": "Southwest General Medical Group, Inc.",
            "address_1": "7255 Old Oak Blvd Ste C108",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441303329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.