Individual provider Active NPI

Robert G. Pecl Jr.

  • Medical Physician Assistant
  • Cleveland, OH
National Provider Identifier
1912414897
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone
(216) 444-8335
NPI assigned
Jan 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-0001

Mailing address

2194 Woodward Ave
Lakewood, OH 44107-5733
Phone (216) 316-2546

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180308001697 OH Practitioner - Physician Assistant 3274894266 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Medical Mi PLLCGroup PAC ID 6002332012, 13 clinicians
Premier Physicians Centers IncGroup PAC ID 0345153326, 50 clinicians

Practice addresses (Care Compare)

196 W Main St
Norwalk, OH 44857-1915
Phone (419) 668-2086

25200 Ctr Ridge Rd
Suite 2300
Westlake, OH 44145-4148
Phone (440) 331-5053

272 Benedict Ave
Norwalk, OH 44857-2374
Phone (419) 660-4707

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physicians Centers, Inc. CurrentSince Jul 1, 2021 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Feb 28, 2018 Accepting new patients
Premier Physicians Centers Inc CurrentSince Jul 1, 2021 Accepting new patients
Fisher-Titus Medical Care LLC Past Accepting new patients

Locations

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

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

282 Benedict Ave
Ste C
Norwalk, OH 44857
Phone (419) 219-9776

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

25200 Center Ridge Rd
Ste 2300
Westlake, OH 44145
Phone (440) 331-5053

24500 Center Ridge Rd
Ste 375
Westlake, OH 44145
Phone (440) 467-1954

Organizations & group practices 7

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 1

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": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1912414897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2194 WOODWARD AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441075733",
            "telephone_number": "216-316-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-444-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECL",
        "first_name": "ROBERT",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.