Individual provider Active NPI

Jason Adam Gregorin, D.O.

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1972982726
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.012977 Issued in OH
Practice address
15105 St Clair Ave
Cleveland, OH 44110-1111
Phone
(216) 800-8020
Fax
(216) 830-7652
NPI assigned
May 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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 34.012977 OH Primary

Addresses

Primary practice location

15105 St Clair Ave
Cleveland, OH 44110-1111

Mailing address

15105 St Clair Ave
Cleveland, OH 44110-1111
Phone (216) 800-8020

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
I20180122001806 OH Practitioner - HospitalistPractitioner - Internal Medicine 3678877073 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.56 of 100Reported as group
Quality
64.78
Improvement activities
40
Cost
70.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.012977OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Ohio Holding LLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jul 1, 2018 Accepting new patients
Hni Medical Services of Ohio, LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Community Hospitalist, LLC Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
The Metrohealth System Current Accepting new patients
North East Ohio Group Practice LLC Internal Medicine CurrentSince Nov 5, 2017 Accepting new patients
PA Post Acute Services PC CurrentSince Jan 21, 2024 Accepting new patients
Pearl Leasing Co., LLC Past Accepting new patients
Heritage Ohio Leasing Co., LLC Past Accepting new patients
Euclid SNF Opco LLC Past Accepting new patients
Falling Leasing Co., LLC Past Accepting new patients
Embassy Euclid, LLC Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

625 Probasco St
Cincinnati, OH 45220
Phone (513) 281-0745

7642 Reading Rd
Cincinnati, OH 45237
Phone (513) 208-2880

6121 Colerain Ave
Cincinnati, OH 45239
Phone (513) 354-2466

5050 Glencrossing Way
Cincinnati, OH 45238
Phone (513) 813-4311

13719 Lorain Ave
Cleveland, OH 44111
Phone (216) 307-3005

15105 Saint Clair Ave
Cleveland, OH 44110
Phone (216) 451-6260

11100 Euclid Ave
Cleveland Heights, OH 44106

3 Gateway
Euclid, OH 44119
Phone (216) 481-4949

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

5264 Lee Rd
Maple Heights, OH 44137
Phone (216) 294-4440

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

27100 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 585-6000

30680 Bainbridge Rd
Solon, OH 44139
Phone (330) 414-1844

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

Interoperability endpoints

  • Direct secure messaging: jgregorin208039@direct.metrohealth.org

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Copley Health CenterCopley, OH, CCN 365771 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
Jan 1, 2025
Greenbrier Health CenterParma Heights, OH, CCN 365192 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2024
Apr 3, 2025
Falling Water HealthcareStrongsville, OH, CCN 366111 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
May 9, 2025
Heritage Healthcare of EuclidEuclid, OH, CCN 365730 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Mar 24, 2025
Mar 24, 2025
Dignity Care Partners of Akron HospiceIndependence, OH, CCN 361752 Hospice Contracted Managing Employee Mar 1, 2025
Dignity Care Partners of Blue Ash HospiceBlue Ash, OH, CCN 361751 Hospice Contracted Managing Employee Mar 1, 2025

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1972982726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15105 ST CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441101111",
            "telephone_number": "216-800-8020",
            "fax_number": "216-830-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15105 ST CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441101111",
            "telephone_number": "216-800-8020",
            "fax_number": "216-830-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORIN",
        "first_name": "JASON",
        "middle_name": "ADAM",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.012977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.