NPIMap

Abdelle Ferdinand Cheres, M.D.

Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Streetsboro, OH

NPI 1881949865 · NPPES record last updated Dec 28, 2020

Key facts

NPI
1881949865
Entity type
Individual (NPI type 1)
Primary specialty
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
License
35-126730 (OH)
Practice address
9318 State Route 14
Streetsboro, OH 44241-5224
Phone
(330) 422-7722
Fax
(330) 422-7724
NPI assigned
Jul 17, 2012
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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

Medicare Care Compare profile

Specialty
Internal Medicine
Also: Endocrinology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Primary Care Practices Inc (1,071 clinicians)

Practice addresses (Care Compare)

9318 State Route 14
FL 3
Streetsboro, OH 44241-5224
Phone (330) 422-0916

Hospital & facility affiliations

  • University Hospitals Portage Medical Center Hospital · Ravenna, OH · CCN 360078
  • University Hospitals Ahuja Medical Center Hospital · Beachwood, OH · CCN 360359
  • Uh Regional Hospitals Hospital · Chardon, OH · CCN 360075
  • Uh Cleveland Medical Center Hospital · Cleveland, OH · CCN 360137

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100 (apm)
Quality
82.31
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170901001932 OH Practitioner - Internal Medicine
Practitioner - Endocrinology		 5496028003 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57.020632OHMDInternal Medicine Physician
35-126730OHMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current
since Sep 1, 2017		 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Current
since Sep 1, 2017		 Accepting new patients
Multicare Health System Past Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

11100 Euclid Ave
Cleveland Heights, OH 44106

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

9318 State Route 14
Fl 3
Streetsboro, OH 44241
Phone (330) 422-0916

Interoperability endpoints

  • Direct secure messaging: aferdinandcheres36888@ehrdirect.uhhospitals.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57.020632 OH
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 35-126730 OH Yes

Addresses

Primary practice location

9318 State Route 14
Streetsboro, OH 44241-5224

Mailing address

9318 State Route 14
Streetsboro, OH 44241-5224
Phone (330) 422-7722

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address abdelleferdinandcheres@uhps.allscriptsdirect.net
Direct Messaging Address abdelleferdinandcheres@uhps.allscriptsdirect.net
Direct Messaging Address abdelleferdinandcheres@uhps.allscriptsdirect.net

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 28, 2020.

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1881949865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 STATE ROUTE 14",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415224",
            "telephone_number": "330-422-7722",
            "fax_number": "330-422-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9318 STATE ROUTE 14",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415224",
            "telephone_number": "330-422-7722",
            "fax_number": "330-422-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERDINAND CHERES",
        "first_name": "ABDELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.020632",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35-126730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abdelleferdinandcheres@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "9318 State Route 14",
            "city": "Streetsboro",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442415224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abdelleferdinandcheres@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "9318 State Route 14",
            "city": "Streetsboro",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442415224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abdelleferdinandcheres@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "9318 State Route 14",
            "city": "Streetsboro",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442415224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Streetsboro, OH

All providers in Streetsboro, OH · Endocrinology, Diabetes & Metabolism Physician in Ohio

Sources for this page

Verify at the official NPI Registry.