Individual provider Active NPI

Karen E Kea, MD

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1962431734
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35062250 Issued in OH
Practice address
2816 E 116TH St
Metrohealth Buckeye Health Center
Cleveland, OH 44120-2111
Phone
(216) 957-4000
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35062250 OH Primary

Addresses

Primary practice location

2816 E 116TH St
Metrohealth Buckeye Health Center
Cleveland, OH 44120-2111

Mailing address

2816 E 116TH St
Metrohealth Buckeye Health Center
Cleveland, OH 44120-2111
Phone (216) 957-4000

Other identifiers 1

IdentifierTypeStateIssuer
0888080MedicaidOH

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
I20100323000182 OH Practitioner - Internal Medicine 8921133471 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35062250OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Internal Medicine CurrentSince Aug 11, 1992 Accepting new patients
The Metrohealth System CurrentSince Aug 11, 1992 Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300

2816 E 116th St
Cleveland, OH 44120
Phone (216) 696-3876

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962431734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 E 116TH ST",
            "address_2": "METROHEALTH BUCKEYE HEALTH CENTER",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202111",
            "telephone_number": "216-957-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 E 116TH ST",
            "address_2": "METROHEALTH BUCKEYE HEALTH CENTER",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202111",
            "telephone_number": "216-957-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEA",
        "first_name": "KAREN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35062250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0888080",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.