Individual provider Active NPI

Maria Angela Deleonibus, DMD

  • Student in an Organized Health Care Education/Training Program
  • Cincinnati, OH
National Provider Identifier
1972162295
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
30.025823 Issued in OH
Practice address
234 Goodman St Dept of
Cincinnati, OH 45219-2364
Phone
(513) 584-2586
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 30.025823 OH Primary

Addresses

Primary practice location

234 Goodman St Dept of
Cincinnati, OH 45219-2364

Mailing address

231 Albert Sabin Way
Cincinnati, OH 45267-0769
Phone (513) 584-2586

Other practice location 1

9601 Chester Ave
Cleveland, OH 44106
Phone (216) 368-3102

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
I20260327003064 OH Practitioner - Oral Surgery 3072932250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Case Western University School of Dental Medicine, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Ohios Center for Ofandi Surgery IncGroup PAC ID 5496983918, 5 clinicians

Practice addresses (Care Compare)

7207 Hopkins Rd
Mentor, OH 44060-6425
Phone (440) 255-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ohios Center for of&I Surgery Inc CurrentSince Jan 18, 2026 Accepting new patients
Case Dental Medicine Support Services, LLC. Past Accepting new patients

Locations

17747 Chillicothe Rd
Ste 203
Chagrin Falls, OH 44023
Phone (440) 255-3700

6151 Wilson Mills Rd
Ste 110
Highland Heights, OH 44143
Phone (440) 771-7070

6151 Wilson Mills Rd
Highland Hts, OH 44143
Phone (440) 771-7070

7207 Hopkins Rd
Mentor, OH 44060
Phone (440) 255-3700

Interoperability endpoints

  • Direct secure messaging: mdeleonibus642761@ehrdirect.uhhospitals.org

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1972162295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 ALBERT SABIN WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452670769",
            "telephone_number": "513-584-2586",
            "fax_number": "513-584-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST DEPT OF",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192364",
            "telephone_number": "513-584-2586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9601 Chester Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44106",
            "country_code": "US",
            "telephone_number": "216-368-3102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELEONIBUS",
        "first_name": "MARIA",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "30.025823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.