Individual provider Active NPI

Antoaneta Ilieva, MD

  • Internal Medicine Physician
  • Chagrin Falls, OH
National Provider Identifier
1811093222
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35081185 Issued in OH
Practice address
8185 E Washington St Ste 1
Chagrin Falls, OH 44023-4574
Phone
(440) 286-9588
Fax
(440) 286-2837
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35081185 OH Primary

Addresses

Primary practice location

8185 E Washington St Ste 1
Chagrin Falls, OH 44023-4574

Mailing address

PO Box 8792
Belfast, ME 04915-8792
Phone (440) 729-3644

Other identifiers 1

IdentifierTypeStateIssuer
2324069MedicaidOH

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
I20040609000318 OH Practitioner - Internal Medicine 5294718524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
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)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-6116

Hospital & facility affiliations

  • Cleveland Clinic Home Care Home health agency, Independence, OH, CCN 367142
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Euclid Hospital Hospital, Euclid, OH, CCN 360082
  • South Pointe Hospital Hospital, Warrensville Heights, OH, CCN 360144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35081185OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Nov 13, 2020 Accepting new patients
University Hospitals Regional Practices LLC Internal Medicine Past Accepting new patients
University Primary Care Practices Inc Internal Medicine PastSince Sep 1, 2003 Accepting new patients

Locations

17747 Chillicothe Rd
Chagrin Falls, OH 44023
Phone (216) 543-8855

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

2570 Som Center Rd
Willoughby Hills, OH 44094
Phone (440) 943-2500

Organizations & group practices 3

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 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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1811093222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8792",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049158792",
            "telephone_number": "440-729-3644",
            "fax_number": "440-729-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8185 E WASHINGTON ST STE 1",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234574",
            "telephone_number": "440-286-9588",
            "fax_number": "440-286-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILIEVA",
        "first_name": "ANTOANETA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35081185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2324069",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

Verify at the official NPI Registry.