Individual provider Active NPI

Kelley T Cerroni, M.D.

  • Internal Medicine Physician
  • Kent, OH
National Provider Identifier
1811975261
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35065936 Issued in OH
Practice address
307 W Main St
Ste B
Kent, OH 44240-2400
Phone
(330) 678-7782
Fax
(330) 678-4306
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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 35065936 OH Primary

Addresses

Primary practice location

307 W Main St
Ste B
Kent, OH 44240-2400

Mailing address

307 W Main St
Suite B
Kent, OH 44240-2400
Phone (330) 678-7782

Other identifiers 1

IdentifierTypeStateIssuer
0381573MedicaidOH

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
I20061017000214 OH Practitioner - Pediatric MedicinePractitioner - Internal Medicine 1850397712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Ohio State University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unity Health Network LLCGroup PAC ID 0244379717, 59 clinicians

Practice addresses (Care Compare)

116 E Ave
Suite 3
Tallmadge, OH 44278-2300
Phone (330) 633-7782

1900 23Rd St
Cuyahoga Falls, OH 44223-1404

307 W Main St
Suite B
Kent, OH 44240-2400
Phone (330) 678-7782

Hospital & facility affiliations

  • Summa Western Reserve Hospital Hospital, Cuyahoga Falls, OH, CCN 360150
  • Summa Health System Hospital, Akron, OH, CCN 360020
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027
  • University Hospitals Portage Medical Center Hospital, Ravenna, OH, CCN 360078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35065936OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Network, LLC CurrentSince Oct 13, 2009 Accepting new patients
Unity Health Network, LLC Internal Medicine CurrentSince Oct 13, 2009 Accepting new patients

Locations

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

3033 State Rd
Ste 204
Cuyahoga Fls, OH 44223
Phone (330) 253-9727

3033 State Rd
Ste 101
Cuyahoga Fls, OH 44223
Phone (330) 923-8372

307 W Main St
Ste B
Kent, OH 44240
Phone (330) 678-7782

4465 Darrow Rd
Stow, OH 44224
Phone (330) 688-9501

9150 Market Square Dr
Ste 201
Streetsboro, OH 44241
Phone (330) 422-9005

116 East Ave
Ste 3
Tallmadge, OH 44278
Phone (330) 633-7782

Interoperability endpoints

  • Direct secure messaging: kelley.cerroni@wrhs.eclinicaldirectplus.com

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 6

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1811975261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 W MAIN ST",
            "address_2": "SUITE B",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402400",
            "telephone_number": "330-678-7782",
            "fax_number": "330-678-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W MAIN ST",
            "address_2": "STE B",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402400",
            "telephone_number": "330-678-7782",
            "fax_number": "330-678-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERRONI",
        "first_name": "KELLEY",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35065936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0381573",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

Verify at the official NPI Registry.