Individual provider Active NPI

Debra A Rozin, MD

  • Internal Medicine Physician
  • Beachwood, OH
National Provider Identifier
1841249422
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35062474 Issued in OH
Practice address
3619 Park East Dr
Suite 110
Beachwood, OH 44122-4330
Phone
(216) 464-4646
Fax
(216) 464-4695
NPI assigned
May 9, 2006
Last updated
Jul 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 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 35062474 OH Primary

Addresses

Primary practice location

3619 Park East Dr
Suite 110
Beachwood, OH 44122-4330

Mailing address

23250 Mercantile Rd
Ste 140
Beachwood, OH 44122-5928
Phone (216) 464-4646

Other identifiers 2

IdentifierTypeStateIssuer
0918707MedicaidOH
P00705993OtherOHRRCARE

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
I20070130000136 OH Practitioner - Internal Medicine 2062409808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joel D. Weisblat, M.D., Inc.Group PAC ID 6507844206, 3 clinicians

Practice addresses (Care Compare)

23250 Mercantile Rd
Suite 140
Beachwood, OH 44122-5928
Phone (216) 464-4646

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince Jan 1, 2007 Accepting new patients
Fairview Hospital Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients
West Side Internal Medicine Inc Internal Medicine Past Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations

36901 American Way
Avon, OH 44011
Phone (440) 930-6200

10654 Lorain Ave
Cleveland, OH 44111
Phone (216) 941-1044

24700 Lorain Rd
Ste 207
North Olmsted, OH 44070
Phone (440) 779-1340

805 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-0696

850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737

Interoperability endpoints

  • Direct secure messaging: debra.rozin.1@11849.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1841249422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23250 MERCANTILE RD",
            "address_2": "STE 140",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225928",
            "telephone_number": "216-464-4646",
            "fax_number": "216-464-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 PARK EAST DR",
            "address_2": "SUITE 110",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224330",
            "telephone_number": "216-464-4646",
            "fax_number": "216-464-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZIN",
        "first_name": "DEBRA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35062474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0918707",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRCARE",
            "identifier": "P00705993",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.