Active NPI
Emad Dean Nukta, MD
- Interventional Cardiology Physician
- Fairview Park, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 35052766
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0762750 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050616000009 | OH | Practitioner - Interventional Cardiology | 0446158455 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cleveland Clinic
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
- Cleveland Clinic
- Cleveland Clinic Avon Hospital
- Lutheran Hospital
- Medina Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 70 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35052766 | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | 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
- 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.
-
- Eyewear Supplier
- Avon Lake, OH
- NPI 1104334226
-
- Eyewear Supplier
- North Ridgeville, OH
- NPI 1245748300
-
- Durable Medical Equipment & Medical Supplies
- Oberlin, OH
- NPI 1265537179
-
- Clinic Pharmacy
- Strongsville, OH
- NPI 1295717593
-
- Eyewear Supplier
- Akron, OH
- NPI 1326175183
-
- Clinic Pharmacy
- Willoughby Hills, OH
- NPI 1346348091
-
- Durable Medical Equipment & Medical Supplies
- Cleveland, OH
- NPI 1497882690
-
- Clinic Pharmacy
- Sandusky, OH
- NPI 1518170323
-
- Eyewear Supplier
- Independence, OH
- NPI 1619551025
-
- Optometrist
- Loudonville, OH
- NPI 1649441783
-
- Mail Order Pharmacy
- Beachwood, OH
- NPI 1649507815
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.