Individual provider Active NPI

Juan Manuel Moldes Larribas, MD

  • Pediatric Urology Physician
  • Cleveland, OH
National Provider Identifier
1891553897
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
000767657 Issued in OH
Practice address
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone
(216) 844-8440
NPI assigned
Mar 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X 000767657 OH Primary

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

10600 Chester Ave Apt 1901
Cleveland, OH 44106-0239
Phone (216) 346-0687

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
I20240611000302 OH Practitioner - Urology 3779025309 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000767657OHMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Sep 7, 2024 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Apr 15, 2024 Accepting new patients
The Metrohealth System Current Accepting new patients
The Metrohealth System CurrentSince Sep 7, 2024 Accepting new patients
Multicare Health System Past Accepting new patients

Locations

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

11100 Euclid Ave
Ste 170
Cleveland, OH 44106

11100 Euclid Ave
Cleveland Heights, OH 44106

960 Clague Rd
Ste 1600
Westlake, OH 44145
Phone (216) 844-1765

Interoperability endpoints

  • Direct secure messaging: jmoldes563859@ehrdirect.uhhospitals.org
  • Direct secure messaging: jmoldes278523@direct.metrohealth.org

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": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1891553897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 CHESTER AVE APT 1901",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441060239",
            "telephone_number": "216-346-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDES LARRIBAS",
        "first_name": "JUAN",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "OH",
            "license": "000767657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.