NPIMap

Individual provider Active NPI

Daniel Caicedo, DO

  • Internal Medicine Physician
  • Conneaut, OH
National Provider Identifier
1982232039
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.015448 Issued in OH
Practice address
158 W Main Rd
Conneaut, OH 44030-2039
Phone
(440) 585-7125
NPI assigned
Apr 1, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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 34.015448 OH Primary

Addresses

Primary practice location

158 W Main Rd
Conneaut, OH 44030-2039

Mailing address

1215 W 10TH St Apt 511
Cleveland, OH 44113-1294
Phone (216) 392-8449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220819002251 OH Practitioner - Internal Medicine 8729461967 Reassigns benefits to 3 organizations
Practice locations: Akron, OH
I20251001003170 CA Practitioner - Internal Medicine 8729461967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

Hospital & facility affiliations

  • University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145
  • University Hospitals Samaritan Medical Center Hospital, Ashland, OH, CCN 360002
  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041
  • Uh St John Medical Center Hospital, Westlake, OH, CCN 360123
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.015448OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North East Ohio Group Practice LLC Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
MBS Envision LLC CurrentSince Sep 11, 2022 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jul 1, 2023 Accepting new patients
Patheous Medical PLLC CurrentSince Nov 14, 2023 Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients
Emh Regional Medical Center Past Accepting new patients
Samaritan Regional Health System Past Accepting new patients
University Hospitals Conneaut Medical Center Past Accepting new patients

Locations

601 E Main St
Ste 101
Mahomet, IL 61853
Phone (913) 359-6001

190 N Union St
Ste 203
Akron, OH 44304
Phone (330) 923-3502

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Conneaut, OH 44030
Phone (216) 844-3777

27155 Chardon Rd
Ste 201
Richmond Hts, OH 44143
Phone (440) 516-4800

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

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

Interoperability endpoints

  • Direct secure messaging: dcaicedo91794@ehrdirect.uhhospitals.org

Organizations & group practices 10

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1982232039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 W 10TH ST APT 511",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441131294",
            "telephone_number": "216-392-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 W MAIN RD",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440302039",
            "telephone_number": "440-585-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAICEDO",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.015448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conneaut, OH

Sources for this page

Verify at the official NPI Registry.