Individual provider Active NPI

Emad Dean Nukta, MD

  • Interventional Cardiology Physician
  • Fairview Park, OH
National Provider Identifier
1922051937
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
35052766 Issued in OH
Practice address
20455 Lorain Rd
Second Floor
Fairview Park, OH 44126-3494
Phone
(440) 333-8600
Fax
(440) 333-5015
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35052766 OH
Interventional Cardiology Physician 207RI0011X 35052766 OH Primary

Addresses

Primary practice location

20455 Lorain Rd
Second Floor
Fairview Park, OH 44126-3494

Mailing address

20455 Lorain Rd
Second Floor
Fairview Park, OH 44126-3494
Phone (440) 333-8600

Other identifiers 1

IdentifierTypeStateIssuer
0762750MedicaidOH

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
I20050616000009 OH Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0446158455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Clinic 6,954 clinicians

Practice addresses (Care Compare)

14601 Detroit Ave
Lakewood, OH 44107-4205

1730 W 25TH St
Cleveland, OH 44113-3108

17840 Bagley Rd
Middleburg Heights, OH 44130-3401
Phone (440) 531-6000

18101 Lorain Ave
Cleveland, OH 44111-5612
Phone (216) 671-2205

1813 Nagel Rd
Suite 500
Avon, OH 44011-6401
Phone (440) 695-6740

20455 Lorain Rd
Fairview Park, OH 44126-3530

24700 Lorain Rd
North Olmsted, OH 44070-2068

303 Chestnut Commons Dr
Elyria, OH 44035-9607
Phone (440) 366-9444

33100 Cleveland Clinic Blvd
Avon, OH 44011-1390
Phone (440) 695-4000

33300 Cleveland Clinic Blvd
Avon, OH 44011-1172
Phone (440) 695-5000

450 Avon Belden Rd
Avon Lake, OH 44012-2282
Phone (440) 930-6800

5172 Leavitt Rd
Lorain, OH 44053-2384

5172 N Leavitt Rd
Lorain, OH 44053-2384
Phone (440) 282-7420

5334 Meador Lane CT
Sheffield Village, OH 44035-1469

5700 Cooper Foster Park Rd W
Lorain, OH 44053-4152
Phone (440) 204-7400

850 Columbia Rd
Westlake, OH 44145-7213

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

  • Fairview Hospital Hospital, Cleveland, OH, CCN 360077
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364
  • Lutheran Hospital Hospital, Cleveland, OH, CCN 360087
  • Medina Hospital Hospital, Medina, OH, CCN 360091

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting70

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35052766OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Aug 5, 2014 Accepting new patients

Locations

2709 Franklin Blvd
Ste 2E
Cleveland, OH 44113
Phone (216) 252-8700

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

20455 Lorain Rd
Fl 2
Fairview Park, OH 44126
Phone (216) 252-8700

970 E Washington St
Ste 2E
Medina, OH 44256
Phone (216) 722-8707

Interoperability endpoints

  • Direct secure messaging: enukta92989@direct.ccf.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1922051937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20455 LORAIN RD",
            "address_2": "SECOND FLOOR",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263494",
            "telephone_number": "440-333-8600",
            "fax_number": "440-333-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20455 LORAIN RD",
            "address_2": "SECOND FLOOR",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263494",
            "telephone_number": "440-333-8600",
            "fax_number": "440-333-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUKTA",
        "first_name": "EMAD",
        "middle_name": "DEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35052766",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35052766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0762750",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Park, OH

Sources for this page

Verify at the official NPI Registry.