Individual provider Active NPI

Jacob Kurowski, M.D.

  • Pediatric Gastroenterology Physician
  • Cleveland, OH
National Provider Identifier
1881836344
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
125864 Issued in OH
Practice address
9500 Euclid Ave
Desk R3
Cleveland, OH 44195-0001
Phone
(216) 444-3564
NPI assigned
Mar 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 036.129487 IL
Pediatric Gastroenterology Physician 2080P0206X 125864 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Desk R3
Cleveland, OH 44195-0001

Mailing address

9500 Euclid Ave
Desk R3
Cleveland, OH 44195-0001
Phone (216) 445-9394

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
I20150527002374 OH Practitioner - Pediatric MedicinePractitioner - Gastroenterology 9234459561 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.129487ILMDPediatric Gastroenterology Physician
125864OHMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Aug 1, 2015 Accepting new patients
The Metrohealth System CurrentSince Aug 1, 2015 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Apr 8, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

9500 Euclid Ave
#A111
Cleveland, OH 44195
Phone (216) 444-2344

9500 Euclid Ave
#A11
Cleveland, OH 44195
Phone (216) 444-1760

4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300

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

9500 Euclid Ave
#R3
Cleveland, OH 44195

6801 Mayfield Rd
Ste 200
Mayfield Heights, OH 44124
Phone (440) 312-4981

970 E Washington St
Medina, OH 44256
Phone (330) 723-7246

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1881836344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "address_2": "DESK R3",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-445-9394",
            "fax_number": "216-444-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "address_2": "DESK R3",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-444-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUROWSKI",
        "first_name": "JACOB",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "IL",
            "license": "036.129487",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "OH",
            "license": "125864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.