Individual provider Active NPI

Michael William Majetich, D.O.

  • Family Medicine Physician
  • Chardon, OH
National Provider Identifier
1871974899
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.013248 Issued in OH
Practice address
510 5TH Ave Ste 130
Chardon, OH 44024-1076
Phone
(440) 279-1500
Fax
(440) 279-1501
NPI assigned
Jun 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.013248 OH Primary

Addresses

Primary practice location

510 5TH Ave Ste 130
Chardon, OH 44024-1076

Mailing address

10775 Locust Grove Dr
Chardon, OH 44024-8873
Phone (440) 313-8192

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
I20180808003062 OH Practitioner - Family Practice 1052669991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

2999 McMackin Rd
Madison, OH 44057-2330
Phone (440) 428-1111

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Mar 19, 2025 Accepting new patients
Lake Hospital System, Inc Family Medicine CurrentSince Aug 13, 2018 Accepting new patients
Lake Hospital System Inc Family Medicine CurrentSince Aug 13, 2018 Accepting new patients
Lake Hospital System, Inc Family Medicine PastSince Nov 24, 2024 Accepting new patients

Locations

510 5th Ave
Ste 130
Chardon, OH 44024
Phone (440) 279-1500

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

2999 McMackin Rd
Madison, OH 44057
Phone (440) 428-1111

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

5105 Som Center Rd
Ste 106
Willoughby, OH 44094
Phone (440) 266-5000

Interoperability endpoints

  • Direct secure messaging: mmajetich37809@ehrdirect.uhhospitals.org

Organizations & group practices 4

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 5

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1871974899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10775 LOCUST GROVE DR",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440248873",
            "telephone_number": "440-313-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 5TH AVE STE 130",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241076",
            "telephone_number": "440-279-1500",
            "fax_number": "440-279-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJETICH",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.013248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

Verify at the official NPI Registry.