Trevor Alexander Herak

Primary specialty

PodiatristTaxonomy code 213E00000X

License

59.000902 Issued in OH

Practice address

2351 E 22ND St
Cleveland, OH 44115-3111

Phone

(216) 861-6200

Fax

(216) 363-7490

NPI assigned

May 26, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lake County Foot and Ankle Associates LLCGroup PAC ID 8527031277, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uhhs Memorial Hospital of Geneva Hospital, Geneva, OH, CCN 361307
• University Hospitals Conneaut Medical Center Hospital, Conneaut, OH, CCN 361308
• Ashtabula County Medical Center Hospital, Ashtabula, OH, CCN 360125

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: therakdpm@ofas.medentdirect.com
• Direct secure messaging: therak38674@ehrdirect.uhhospitals.org

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.

• Lake County Foot & Ankle Associates, LLC

  • Foot & Ankle Surgery Podiatrist
  • Mentor, OH
  • NPI 1770605347
  Medicare reassignment Care Compare group NPD
• Lake County Foot & Ankle Associates, LLC

  • Foot & Ankle Surgery Podiatrist
  • Wadsworth, OH
  • NPI 1154128064
  NPD

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

• Ashtabula County Medical Center

  • General Acute Care Hospital
  • Ashtabula, OH
  • NPI 1285607416
  Care Compare affiliation
• University Hospitals Conneaut Medical Center

  • Critical Access Hospital
  • Conneaut, OH
  • NPI 1902996119
  Care Compare affiliation
• University Hospitals Geneva Medical Center

  • Critical Access Hospital
  • Geneva, OH
  • NPI 1225128432
  Care Compare affiliation

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1982279352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30225 THOMAS ST",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440954829",
            "telephone_number": "216-246-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 E 22ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153111",
            "telephone_number": "216-861-6200",
            "fax_number": "216-363-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERAK",
        "first_name": "TREVOR",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "59.000902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Hentzell-Pannekoek
• Mary Kristina Henzel, MD, PHD
• Jaeyeong Heo, MD
• Madihah Hepburn
• Ashley C Hepner, ANP-BC
• Kayla Herbell
• Stephen Andrew Herbener, DPT, PT
• Christopher W Herbert, D.P.M.
• Eileen F Herbert, MD
• Linda Ann Herbert, LISW-S

• Podiatrist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.