Individual provider Active NPI

James Harris, MD

  • Gastroenterology Physician
  • Brooklyn, OH
National Provider Identifier
1952323784
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35041854 Issued in OH
Practice address
7580 Northcliff Ave
Suite 1000
Brooklyn, OH 44144-3270
Phone
(440) 808-1212
Fax
(440) 808-0321
NPI assigned
Jul 24, 2006
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35041854 OH Primary

Addresses

Primary practice location

7580 Northcliff Ave
Suite 1000
Brooklyn, OH 44144-3270

Mailing address

850 Columbia Rd Ste 200
Westlake, OH 44145-7215
Phone (440) 808-1212

Other practice location 1

850 Columbia Rd Ste 200
Westlake, OH 44145-7215
Phone (440) 808-1212

Other identifiers 2

IdentifierTypeStateIssuer
Q00545238OtherOHMEDICARE RAILROAD
0470208MedicaidOH

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
I20040629000023 OH Practitioner - Gastroenterology 0446236509 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35041854OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Pathology LLC Anatomic Pathology CurrentSince Aug 15, 2023 Accepting new patients
North Shore Endoscopy Center Gastroenterology Current Accepting new patients
Govind K Mehta, M.D., Inc. Past Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations

7580 Northcliff Ave
Ste 1000
Cleveland, OH 44144

835 Sharon Dr
Ste 250
Westlake, OH 44145

850 Columbia Rd
Ste 200
Westlake, OH 44145

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1952323784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 COLUMBIA RD STE 200",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441457215",
            "telephone_number": "440-808-1212",
            "fax_number": "440-808-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 NORTHCLIFF AVE",
            "address_2": "SUITE 1000",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441443270",
            "telephone_number": "440-808-1212",
            "fax_number": "440-808-0321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Columbia Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441457215",
            "country_code": "US",
            "telephone_number": "440-808-1212",
            "fax_number": "440-808-2060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35041854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "Q00545238",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0470208",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, OH

Sources for this page

Verify at the official NPI Registry.