Individual provider Active NPI

Gabriella Palma, MD

  • Family Medicine Physician
  • N Ridgeville, OH
National Provider Identifier
1881686624
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35078677 Issued in OH
Practice address
34960 Center Ridge Rd
N Ridgeville, OH 44039-3183
Phone
(440) 353-3433
Fax
(440) 353-3431
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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 35078677 OH Primary

Addresses

Primary practice location

34960 Center Ridge Rd
N Ridgeville, OH 44039-3183

Mailing address

26908 Detroit Rd
Suite 301
Westlake, OH 44145-2398
Phone (440) 617-1823

Other identifiers 2

IdentifierTypeStateIssuer
080173546OtherOHRR MEDICARE
2214062MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gabriellapalma@uhps.allscriptsdirect.net

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
I20050423000098 OH Practitioner - Family Practice 3072551662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

158 W Main Rd
Conneaut, OH 44030-2039

32800 Lorain Rd
North Ridgeville, OH 44039-3430

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078677OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Jan 1, 2017 Accepting new patients
University Primary Care Practices Inc Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

2535 Hale St
Ste B
Avon, OH 44011
Phone (440) 934-8858

2535 Hale St
Ste A
Avon, OH 44011
Phone (440) 617-1823

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

32800 Lorain Rd
Ste 2100
North Ridgeville, OH 44039
Phone (440) 353-3433

29325 Health Campus Dr
Ste 2
Westlake, OH 44145
Phone (440) 835-6142

Interoperability endpoints

  • Direct secure messaging: gpalma37255@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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1881686624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26908 DETROIT RD",
            "address_2": "SUITE 301",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452398",
            "telephone_number": "440-617-1823",
            "fax_number": "440-617-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34960 CENTER RIDGE RD",
            "city": "N RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393183",
            "telephone_number": "440-353-3433",
            "fax_number": "440-353-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMA",
        "first_name": "GABRIELLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35078677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080173546",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2214062",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gabriellapalma@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "32800 Lorain Rd Ste 2100",
            "city": "North Ridgeville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440393430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in N Ridgeville, OH

Sources for this page

Verify at the official NPI Registry.