Organization Active NPI

Southwest Urology, LLC

  • Urology Physician
  • Middleburg Heights, OH
National Provider Identifier
1962428136
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
SOUTHWEST UROLOGY, LLC
Practice address
6900 Pearl Road
2ND Floor
Middleburg Heights, OH 44130-3639
Phone
(440) 845-0900
Fax
(440) 845-7355
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Dr. Michael T. Barkoukis, M.D.NPI 1740258128
Title
President
Phone
(440) 845-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

6900 Pearl Road
2ND Floor
Middleburg Heights, OH 44130-3639

Mailing address

6900 Pearl Road
2ND Floor
Middleburg Heights, OH 44130-3639
Phone (440) 845-0900

Other identifiers 1

IdentifierTypeStateIssuer
0634504MedicaidOH

Other names 1

  • SouthWest Urology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050105000004 OH Part B Supplier - Clinic/Group Practice 4789632902 Receives reassigned benefits from 14 practitioners
Practice locations: Middleburg Heights, OH; Westlake, OH; Cleveland, OH; Brook Park, OH
O20100930088586 OH DME Supplier - Physician - Urology 4789632902 Practice locations: Middleburg Heights, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0336272Southwest Urology, LLC6900 Pearl Road, Suite 200, Middleburg Heights, OH 44130ComplianceMay 18, 2027

National Provider Directory

National Provider Directory

Locations

2865 E Coast Hwy
Ste 210
Corona del Mar, CA 92625

44 Blaine Ave
#130
Bedford, OH 44146
Phone (216) 581-0470

5260 Smith Rd
#1
Brookpark, OH 44142

4269 Pearl Rd
Ste 206
Cleveland, OH 44109
Phone (440) 845-0900

6900 Pearl Rd
Fl 1
Middleburg Heights, OH 44130

6900 Pearl Rd
Ste 200
Middleburg Heights, OH 44130
Phone (440) 845-0900

6900 Pearl Rd
Fl 2
Middleburg Heights, OH 44130
Phone (440) 845-0900

6900 Pearl Rd
Ste 303
Middleburg Heights, OH 44130
Phone (440) 887-2783

6707 Powers Blvd
Ste 309
Parma, OH 44129
Phone (440) 886-5558

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1962428136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 PEARL ROAD",
            "address_2": "2ND FLOOR",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303639",
            "telephone_number": "440-845-0900",
            "fax_number": "440-845-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 PEARL ROAD",
            "address_2": "2ND FLOOR",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303639",
            "telephone_number": "440-845-0900",
            "fax_number": "440-845-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST UROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "BARKOUKIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-845-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0634504",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SouthWest Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.