Individual provider Active NPI

Eleni Dimitriadis, MD

  • Family Medicine Physician
  • Massillon, OH
National Provider Identifier
1992209068
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.140421 Issued in OH
Practice address
7337 Caritas Cir NW
Massillon, OH 44646-9126
Phone
(330) 830-6110
NPI assigned
Mar 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 35.140421 OH Primary

Addresses

Primary practice location

7337 Caritas Cir NW
Massillon, OH 44646-9126

Mailing address

7337 Caritas Cir NW
Massillon, OH 44646-9126
Phone (330) 830-6110

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
I20210901002714 OH Practitioner - Family Practice 3971854514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

2875 W Market St
Fairlawn, OH 44333-4065

3593 S Arlington Rd
Suite D
Akron, OH 44312-5271
Phone (234) 867-6600

525 E Market St
Akron, OH 44304-1619

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Cleveland Clinic Mercy Hospital CurrentSince Aug 1, 2021 Accepting new patients
Summa Physicians LLC CurrentSince Feb 10, 2025 Accepting new patients
Summa Physicians LLC CurrentSince Feb 10, 2025 Accepting new patients
Summa Physicians LLC Current Accepting new patients

Locations

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

7337 Caritas Cir NW
Massillon, OH 44646
Phone (330) 478-0001

Interoperability endpoints

  • Direct secure messaging: edimitriadis1198853@direct.ccf.org

Organizations & group practices 5

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": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1992209068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7337 CARITAS CIR NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469126",
            "telephone_number": "330-830-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7337 CARITAS CIR NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469126",
            "telephone_number": "330-830-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITRIADIS",
        "first_name": "ELENI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.140421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.