Individual provider Active NPI

Homer N Huntley, M.D.

  • Anesthesiology Physician
  • Cleveland, OH
National Provider Identifier
1831184993
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME163411 Issued in FL
Practice address
10515 Carnegie Ave
Cleveland, OH 44106-3016
Phone
(216) 928-0136
Fax
(216) 928-0141
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 35-06-1010 OH
Anesthesiology Physician 207L00000X ME163411 FL Primary

Addresses

Primary practice location

10515 Carnegie Ave
Cleveland, OH 44106-3016

Mailing address

10515 Carnegie Ave
Cleveland, OH 44106-3016
Phone (216) 928-0136

Other identifiers 1

IdentifierTypeStateIssuer
0821301MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070925000025 OH Practitioner - Anesthesiology 6103910989
I20230207002715 TX Practitioner - Anesthesiology 6103910989 Reassigns benefits to 1 organization
I20230926002907 FL Practitioner - Anesthesiology 6103910989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Michigan State University College of Human Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Anesthesiology Services of Florida IncGroup PAC ID 1850674540, 159 clinicians

Practice addresses (Care Compare)

13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-1000

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 493-5005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME163411FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia & Pain Consultants of SW FL CurrentSince Oct 1, 2023 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince Jan 3, 2023 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Jan 3, 2023 Accepting new patients
American Anesthesiology Services of Florida, Inc. Anesthesiology CurrentSince Jan 29, 2024 Accepting new patients
Outpatient Anesthesia of Southwest Florida Inc CurrentSince Oct 1, 2023 Accepting new patients
Podiatry Assoc of the Ohio College of Podiatric Medicine Past Accepting new patients
Collis, Kim & Associates, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Cleveland Foot and Ankle Clinic Past Accepting new patients

Locations

4035 Evans Ave
Fort Myers, FL 33901
Phone (941) 939-4937

12511 World Plaza Ln
Bldg 50
Fort Myers, FL 33907
Phone 2399392622 ext. 300

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1831184993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 CARNEGIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441063016",
            "telephone_number": "216-928-0136",
            "fax_number": "216-928-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 CARNEGIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441063016",
            "telephone_number": "216-928-0136",
            "fax_number": "216-928-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTLEY",
        "first_name": "HOMER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35-06-1010",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME163411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0821301",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.