Individual provider Active NPI

Atta J Asef, DPM

  • Foot & Ankle Surgery Podiatrist
  • Willoughby Hills, OH
National Provider Identifier
1881626646
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36-00-2887A Issued in OH
Practice address
35010 Chardon Road
Suite #101a
Willoughby Hills, OH 44094-9011
Phone
(440) 953-3668
Fax
(440) 953-3556
NPI assigned
Jul 6, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36-00-2887A OH Primary

Addresses

Primary practice location

35010 Chardon Road
Suite #101a
Willoughby Hills, OH 44094-9011

Mailing address

35010 Chardon Road
Suite #101a
Willoughby Hills, OH 44094-9011
Phone (440) 953-3668

Other practice location 1

5000 Rockside Drive
suite 260
Independence, OH 44131-2141
Phone (440) 953-3668

Other practice location 2

99 Northline Cir Ste 200
Euclid, OH 44119-1481
Phone (440) 953-3668

Other identifiers 3

IdentifierTypeStateIssuer
000000122928OtherOHANTHEMBCBS
3025514MedicaidOH
2085023MedicaidOH

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Atta J Asef DPM LTD Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aasef30171@direct.ccf.org

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, 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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881626646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35010 CHARDON ROAD",
            "address_2": "SUITE #101A",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949011",
            "telephone_number": "440-953-3668",
            "fax_number": "440-953-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35010 CHARDON ROAD",
            "address_2": "SUITE #101A",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949011",
            "telephone_number": "440-953-3668",
            "fax_number": "440-953-3556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Rockside Drive",
            "address_2": "suite 260",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "OH",
            "postal_code": "441312141",
            "country_code": "US",
            "telephone_number": "440-953-3668",
            "fax_number": "440-953-3556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Northline Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Euclid",
            "state": "OH",
            "postal_code": "441191481",
            "country_code": "US",
            "telephone_number": "440-953-3668",
            "fax_number": "440-953-3556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASEF",
        "first_name": "ATTA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36-00-2887A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEMBCBS",
            "identifier": "000000122928",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3025514",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2085023",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.