Individual provider Active NPI

Christopher D'Amico, DO

  • Family Medicine Physician
  • Euclid, OH
National Provider Identifier
1821585860
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.014769 Issued in OH
Practice address
18599 Lake Shore Blvd Ste 400
Euclid, OH 44119-1074
Phone
(216) 383-5929
NPI assigned
Apr 16, 2018
Last updated
May 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 34.014769 OH Primary

Addresses

Primary practice location

18599 Lake Shore Blvd Ste 400
Euclid, OH 44119-1074

Mailing address

18599 Lake Shore Blvd Ste 400
Euclid, OH 44119-1074
Phone (216) 383-5929

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
I20210730003097 OH Practitioner - Family Practice 3072860881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

18599 Lake Shore Blvd
Suite 400
Euclid, OH 44119-1074
Phone (216) 383-5303

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
The Metrohealth System Current Accepting new patients
University Primary Care Practices Inc Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
University Primary Care Practices Inc CurrentSince Aug 1, 2021 Accepting new patients
University Primary Care Practices Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients

Locations

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

18599 Lake Shore Blvd
Ste 400
Euclid, OH 44119
Phone (216) 383-5303

27100 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 585-6000

Interoperability endpoints

  • Direct secure messaging: cdamico182524@direct.metrohealth.org
  • Direct secure messaging: cdamico36002@ehrdirect.uhhospitals.org

Organizations & group practices 6

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 7

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1821585860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18599 LAKE SHORE BLVD STE 400",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441191074",
            "telephone_number": "216-383-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18599 LAKE SHORE BLVD STE 400",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441191074",
            "telephone_number": "216-383-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMICO",
        "first_name": "CHRISTOPHER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-16",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.014769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

Verify at the official NPI Registry.