Active NPI
Mary E Klecka, MD
- Internal Medicine Physician
- Westlake, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.127125
- Practice address
- 26908 Detroit Rd
Ste. 200
Westlake, OH 44145-2398 - Phone
- (440) 250-8660
- Fax
- (440) 250-8639
- NPI assigned
- Jun 26, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 56604 | MN | |
| Internal Medicine Physician | 207R00000X | 35.127125 | OH | Primary |
Addresses
Primary practice location
26908 Detroit Rd
Ste. 200
Westlake, OH 44145-2398
Mailing address
26908 Detroit Rd
Ste. 301
Westlake, OH 44145-2398
Phone (440) 892-6406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0152379 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Northeastern Ohio University College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433
Hospital & facility affiliations
- Fairview Hospital
- Cleveland Clinic
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kishor Patel MD LLC | Internal Medicine | Current | Accepting new patients |
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| Fairview Hospital | Past | Accepting new patients |
Locations
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
11100 Euclid Ave
Cleveland Heights, OH 44106
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
21851 Center Ridge Rd
Ste 405
Rocky River, OH 44116
Phone (216) 221-2127
26908 Detroit Rd
Ste 200
Westlake, OH 44145
Phone (440) 871-6060
29325 Health Campus Dr
Ste 2
Westlake, OH 44145
Phone (440) 835-6142
Interoperability endpoints
- mklecka37232@ehrdirect.uhhospitals.org
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Internal Medicine Physician
- Rocky River, OH
- NPI 1710563028
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1215989611
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1215989611
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1942564802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26908 DETROIT RD",
"address_2": "STE. 301",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441452398",
"telephone_number": "440-892-6406",
"fax_number": "440-617-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26908 DETROIT RD",
"address_2": "STE. 200",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441452398",
"telephone_number": "440-250-8660",
"fax_number": "440-250-8639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLECKA",
"first_name": "MARY",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-26",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "56604",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.127125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0152379",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.