Organization Active NPI

Ori Kushnir MD OBGYN LLC

  • Gynecology Physician
  • Euclid, OH
National Provider Identifier
1861660516
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
ORI KUSHNIR MD OBGYN LLC
Practice address
25701 N Lakeland Blvd
Ste #302
Euclid, OH 44132-2452
Phone
(440) 461-2421
Fax
(216) 417-2912
NPI assigned
Feb 15, 2008
Last updated
Feb 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Mr. Ori Kushnir, MDNPI 1841276276
Title
MD, Physician
Phone
(216) 287-7417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU
Gynecology Physician 207VG0400X NU Primary

Addresses

Primary practice location

25701 N Lakeland Blvd
Ste #302
Euclid, OH 44132-2452

Mailing address

25701 N Lakeland Blvd
Ste #302
Euclid, OH 44132-2452
Phone (440) 461-2421

Other identifiers 1

IdentifierTypeStateIssuer
2811390MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080731000614 OH Part B Supplier - Clinic/Group Practice 8022182500 Receives reassigned benefits from 1 practitioner
Practice locations: Euclid, OH

National Provider Directory

National Provider Directory

Locations

25701 N Lakeland Blvd
Ste 302
Euclid, OH 44132
Phone (440) 461-2421

730 Som Center Rd
Ste 340
Mayfield Village, OH 44143
Phone (440) 461-2421

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1861660516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25701 N LAKELAND BLVD",
            "address_2": "STE #302",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441322452",
            "telephone_number": "440-461-2421",
            "fax_number": "216-417-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25701 N LAKELAND BLVD",
            "address_2": "STE #302",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441322452",
            "telephone_number": "440-461-2421",
            "fax_number": "216-417-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORI KUSHNIR MD OBGYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "KUSHNIR",
        "authorized_official_first_name": "ORI",
        "authorized_official_title_or_position": "MD, PHYSICIAN",
        "authorized_official_telephone_number": "216-287-7417",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2811390",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.