Individual provider Active NPI

Gennadiy Bondarchuk, MSN, APRN-CNP, FNP-C

  • Nurse Practitioner
  • Euclid, OH
National Provider Identifier
1871266262
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0029417 Issued in OH
Practice address
18901 Lakeshore Blvd
Euclid, OH 44119-1078
Phone
(216) 531-9000
NPI assigned
Jul 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0029417 OH Primary

Addresses

Primary practice location

18901 Lakeshore Blvd
Euclid, OH 44119-1078

Mailing address

9500 Euclid Ave
Mail Code Eu-291P
Cleveland, OH 44195-0001
Phone (216) 440-5086

Other practice location 1

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 440-5086

Other identifiers 1

IdentifierTypeStateIssuer
0465585MedicaidOH

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250314000468 OH Practitioner - Nurse Practitioner 9335661719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McIntyre Center Inc.Group PAC ID 2567998719, 2 clinicians

Practice addresses (Care Compare)

6900 Ridge Rd
Suite 202
Parma, OH 44129-5650
Phone 4408871000243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
McIntyre Center Inc. CurrentSince Jan 1, 2025 Accepting new patients
McIntyre Center Inc. Family Medicine PastSince Jan 1, 2025 Accepting new patients

Locations

14707 S Cheshire St
Burton, OH 44021
Phone 4408871100 ext. 243

6900 Ridge Rd
Ste 202
Parma, OH 44129
Phone (440) 887-1100

6929 W 130th St
Ste 307
Parma Heights, OH 44130
Phone (440) 887-1100

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.

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1871266262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "address_2": "MAIL CODE EU-291P",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-440-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18901 LAKESHORE BLVD",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441191078",
            "telephone_number": "216-531-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "216-440-5086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONDARCHUK",
        "first_name": "GENNADIY",
        "credential": "MSN, APRN-CNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-30",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0029417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0465585",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

Verify at the official NPI Registry.