Individual provider Active NPI

Ernesto Gerardo, MD

  • Pediatrics Physician
  • Broadview Heights, OH
National Provider Identifier
1871673038
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35049474G Issued in OH
Practice address
5901 E Royalton Rd Ste 2100
Broadview Heights, OH 44147-3532
Phone
(440) 526-8222
Fax
(440) 526-7881
NPI assigned
Oct 16, 2006
Last updated
Dec 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35049474G OH Primary

Addresses

Primary practice location

5901 E Royalton Rd Ste 2100
Broadview Heights, OH 44147-3532

Mailing address

PO Box 901599
Cleveland, OH 44190-1599
Phone (440) 526-8222

Other practice location 1

18181 Pearl Rd Ste A200
Strongsville, OH 44136-6953
Phone (440) 816-4950

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ernestogerardo@uhps.allscriptsdirect.net
Direct Messaging Address ernestogerardo@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35049474GOHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Pediatrics Past Accepting new patients
University Primary Care Practices Inc Pediatrics Past Accepting new patients
University Primary Care Practices Inc Pediatrics Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1871673038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901599",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441901599",
            "telephone_number": "440-526-8222",
            "fax_number": "440-526-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 E ROYALTON RD STE 2100",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441473532",
            "telephone_number": "440-526-8222",
            "fax_number": "440-526-7881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18181 Pearl Rd Ste A200",
            "address_purpose": "LOCATION",
            "city": "Strongsville",
            "state": "OH",
            "postal_code": "441366953",
            "country_code": "US",
            "telephone_number": "440-816-4950",
            "fax_number": "440-816-4960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERARDO",
        "first_name": "ERNESTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35049474G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ernestogerardo@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5901 E Royalton Rd Ste 2100",
            "city": "Broadview Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441473532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ernestogerardo@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "18181 Pearl Rd Ste A200",
            "city": "Strongsville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441366953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Broadview Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.