NPIMap

Individual provider Active NPI

Mihaela Donca, M.D.

  • Internal Medicine Physician
  • Willoughby, OH
National Provider Identifier
1881635670
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-087500 Issued in OH
Practice address
4176 State Route 306
Willoughby, OH 44094-9203
Phone
(440) 918-4690
Fax
(440) 918-4694
NPI assigned
Jun 10, 2006
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-087500 OH Primary

Addresses

Primary practice location

4176 State Route 306
Willoughby, OH 44094-9203

Mailing address

PO Box 781389
Detroit, MI 48278-1389
Phone (440) 918-4690

Other identifiers 1

IdentifierTypeStateIssuer
2670560MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mihaela.donca@lhpg.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060830000572 OH Practitioner - Internal Medicine 4486658606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lake Hospital System, Inc.Group PAC ID 6002713922, 92 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

36001 Euclid Avneue
Suite C7
Willoughby, OH 44094-4650
Phone (440) 602-6710

36100 Euclid Ave
Willoughby, OH 44094-4427

36100 Euclid Ave
Suite 450
Willoughby, OH 44094-4488
Phone (440) 946-9555

36500 Euclid Ave
Willoughby, OH 44094-4455
Phone (440) 516-0530

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-087500OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System, Inc. CurrentSince May 31, 2008 Accepting new patients
Lake Hospital System Inc Internal Medicine Current Accepting new patients
Lake Hospital System Inc. Past Accepting new patients
Lake Hospital System, Inc Internal Medicine Past Accepting new patients
Lake Hospital System Past Accepting new patients
Medcare Ohio, Inc. Internal Medicine Past Accepting new patients
Kirtland Woods of Journey, LLC Past Accepting new patients
Kirtland Rehab and Care, LLC Past Accepting new patients
Lake Hospital System Inc Past Accepting new patients

Locations

510 5th Ave
Chardon, OH 44024
Phone (440) 285-9494

6270 N Ridge Rd
Madison, OH 44057
Phone (440) 428-8292

Interoperability endpoints

  • Direct secure messaging: mdonca37813@ehrdirect.uhhospitals.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kirtland Woods of JourneyKirtland, OH, CCN 365290 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 27, 2024
Nov 27, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1881635670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781389",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781389",
            "telephone_number": "440-918-4690",
            "fax_number": "440-918-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4176 STATE ROUTE 306",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949203",
            "telephone_number": "440-918-4690",
            "fax_number": "440-918-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONCA",
        "first_name": "MIHAELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-087500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2670560",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mihaela.donca@lhpg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Baseline West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "4176 State Route 306",
            "city": "Willoughby",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440949203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

Verify at the official NPI Registry.