Andrew P Garlisi, M.D.
Individual provider Active NPI Emergency Medicine Physician · Chardon, OH
NPI 1962487819 · NPPES record last updated Mar 22, 2016
Key facts
- NPI
- 1962487819
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 35070392 (OH)
- Practice address
- 13207 Ravenna Rd
Chardon, OH 44024-7032 - Phone
- (440) 285-6000
- Fax
- (330) 656-5901
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 24
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Toledo College of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ues Geauga, LLC
Practice addresses (Care Compare)
13207 Ravenna Rd
Chardon, OH 44024-7032
Phone (240) 686-2300
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.46 of 100
- Quality
- 90.17
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.38 of 100
- Quality
- 79.57
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040614000033 | OH | Practitioner - Emergency Medicine | 9739162322 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35070392 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ues Geneva LLC | Emergency Medicine | Current |
Accepting new patients |
| University Hospitals Conneaut Medical Center | Current |
Accepting new patients | |
| Ues Ahuja LLC | Emergency Medicine | Current |
Accepting new patients |
| The Metrohealth System | Emergency Medicine | Current |
Accepting new patients |
| Ues Geauga, LLC | Emergency Medicine | Current |
Accepting new patients |
| Magis Emergency Medicine LLC | Emergency Medicine | Current |
Accepting new patients |
| University Hospitals Conneaut Medical Center | Current |
Accepting new patients | |
| University Hospitals Conneaut Medical Center | Current | Accepting new patients | |
| University Hospitals Ahuja Medical Center | Current |
Accepting new patients | |
| University Hospitals Ahuja Medical Center, Inc | Current | Accepting new patients | |
| University Emergency Specialists LLC | Emergency Medicine | Current |
Accepting new patients |
| The Metrohealth System | Current |
Accepting new patients | |
| University Hospitals Ahuja Medical Center | Current |
Accepting new patients | |
| Brown Memorial Hospital | Emergency Medicine | Past | Accepting new patients |
| Memorial Hospital of Geneva | Emergency Medicine | Past | Accepting new patients |
| Mves Boardman LLC | Emergency Medicine | Past | Accepting new patients |
| Mahoning Valley Emergency Specialists LLC | Emergency Medicine | Past | Accepting new patients |
| Nes Ohio Inc | Emergency Medicine | Past | Accepting new patients |
| 4M Emergency Systems LLC | Emergency Medicine | Past | Accepting new patients |
| BMH Professional Corporation | Past | Accepting new patients | |
| Lake Emergency Services Inc | Emergency Medicine | Past | Accepting new patients |
| University Hospitals Cleveland Medical Center | Past | Accepting new patients | |
| Mves Austintown LLC | Emergency Medicine | Past | Accepting new patients |
| Indiana Emergency Physicians L L P | Emergency Medicine | Past | Accepting new patients |
Locations
12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515
1025 Center St
Ashland, OH 44805
Phone (419) 207-2370
13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004
3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
11100 Euclid Ave
Cleveland Heights, OH 44106
158 W Main Rd
Conneaut, OH 44030
Phone (216) 844-3777
870 W Main St
Geneva, OH 44041
Phone (440) 415-0258
7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000
8819 Commons Blvd
Ste 101
Twinsburg, OH 44087
Phone (330) 405-1500
Interoperability endpoints
- agarlisi36926@ehrdirect.uhhospitals.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35070392 | OH | Yes |
Addresses
Primary practice location
13207 Ravenna Rd
Chardon, OH 44024-7032
Mailing address
5700 Darrow Rd
Suite 106
Hudson, OH 44236-5021
Phone (330) 656-5911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930121866 | Other | OH | RAILROAD MEDICARE |
| 2011049 | Medicaid | OH | |
| 4174489 | Other | OH | MEDICARE |
| N379478 | Other | OH | WELLCARE |
| 102020678-0001 | Other | OH | PENNSYLVANIA MEDICAID |
| P00347156 | Other | OH | RAILROAD MEDICARE |
| 000000358818 | Other | OH | ANTHEM |
| P00330793 | Other | OH | RAILROAD MEDICARE |
Other providers in Chardon, OH
- Felicia Gang
- Matthew Garcia
- Carolyn Gardner
- Kelly Gardner
- Kim L. Gardner
- Jamie Gatesman
- Thomas Gazley
- Geauga Anesthesia Inc
- Geauga County Educational Service Center
- Geauga County Health District
All providers in Chardon, OH · Emergency Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.