Individual provider Active NPI

Alicia M Ferguson

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1861980815
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34.016244 Issued in OH
Practice address
10201 Carnegie Ave
Cleveland, OH 44106-2130
Phone
(866) 223-8100
NPI assigned
Apr 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 34.016244 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

10201 Carnegie Ave
Cleveland, OH 44106-2130

Mailing address

10201 Carnegie Ave
Cleveland, OH 44106-2130

Other practice location 1

1111 Hayes Ave
Sandusky, OH 44870-3323
Phone (419) 502-2800

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
I20230606003228 OH Practitioner - Diagnostic Radiology 6204187792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akron Radiology IncGroup PAC ID 3971497066, 37 clinicians

Practice addresses (Care Compare)

1 Park W Blvd
Suite 130
Akron, OH 44320-4230
Phone (330) 375-3043

155 5TH St NE
Barberton, OH 44203-3332
Phone (330) 375-3043

1860 State Rd
Suite B2
Cuyahoga Falls, OH 44223-1400
Phone (330) 375-3043

195 Wadsworth Rd
Wadsworth, OH 44281-9504
Phone (330) 375-3043

3780 Medina Rd
Medina, OH 44256-9311
Phone (330) 375-3043

3825 Fishcreek Rd
Stow, OH 44224-4322
Phone (330) 375-3043

3838 Massillon Rd
Uniontown, OH 44685-7964
Phone (330) 375-3043

525 E Market St
Akron, OH 44304-1619
Phone (330) 375-3043

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027
  • Summa Western Reserve Hospital Hospital, Cuyahoga Falls, OH, CCN 360150
  • Crystal Clinic Orthopaedic Center Hospital, Akron, OH, CCN 360351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34.016244OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WRH Physicians, Inc. CurrentSince Dec 30, 2024 Accepting new patients
Akron Radiology Inc Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1900 23rd St
Ste 1100
Cuyahoga Falls, OH 44223
Phone (330) 971-7989

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

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

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1861980815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 CARNEGIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 CARNEGIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062130",
            "telephone_number": "866-223-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Hayes Ave",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448703323",
            "country_code": "US",
            "telephone_number": "419-502-2800",
            "fax_number": "419-502-2821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "ALICIA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34.016244",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.