Active NPI
Martin L. Ribovich, M.D.
- Radiation Oncology Physician
- Elyria, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 35069892
- Practice address
- 41201 Schadden Rd
Elyria, OH 44035-2220 - Phone
- (440) 324-0440
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 35069892 | OH | Primary |
Addresses
Primary practice location
41201 Schadden Rd
Elyria, OH 44035-2220
Mailing address
5260 Smith Rd
Brookpark, OH 44142-1747
Phone (216) 286-6295
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000529634 | Other | OH | ANTHEM |
| 363951 | Other | OH | WELLCARE |
| 2017598 | Medicaid | OH | |
| 5461490 | Other | OH | AETNA |
| 732807 | Other | OH | BUCKEYE |
| 000000224148 | Other | OH | UNISON |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Ohio State University College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Infinity Corporate Centre Dr
Suite 101
Garfield Heights, OH 44125-5369
10500 Antenucci Boulevard
Suite 101
Garfield Heights, OH 44125-5369
Phone (440) 891-6500
5260 Smith Rd
Brook Park, OH 44142-1747
Phone (216) 265-4580
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35069892 | OH | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Urology Associates, Inc | Radiation Oncology | Current | Accepting new patients |
| Cleveland Radiation Oncology, Inc | Current | Accepting new patients | |
| Southwest Urology, LLC | Current | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
5260 Smith Rd
#1
Brookpark, OH 44142
5260 Smith Rd
Cleveland, OH 44142
Phone (216) 265-4580
6900 Pearl Rd
Ste 200
Middleburg Heights, OH 44130
Phone (440) 845-0900
5319 Hoag Dr
Sheffield Village, OH 44035
Phone (440) 930-6020
5319 Hoag Dr
Ste 240
Sheffield Village, OH 44035
Phone (440) 930-6060
Interoperability endpoints
- mribovich@direct.swgeneral.com
- https://app.meldrx.com/api/fhir/uc05366_clevelandurologyassc
Organizations & group practices 4
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.
-
- Specialist
- Brookpark, OH
- NPI 1457546475
-
- Urology Physician
- Garfield Heights, OH
- NPI 1265509053
Radiation Oncology
-
- Urology Physician
- Middleburg Heights, OH
- NPI 1962428136
-
- Nurse Practitioner
- Tacoma, WA
- NPI 1407808413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520812800000",
"number": "1992797989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5260 SMITH RD",
"city": "BROOKPARK",
"state": "OH",
"postal_code": "441421747",
"telephone_number": "216-286-6295",
"fax_number": "216-286-6341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41201 SCHADDEN RD",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440352220",
"telephone_number": "440-324-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIBOVICH",
"first_name": "MARTIN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2018-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "OH",
"license": "35069892",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000529634",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "363951",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2017598",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5461490",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE",
"identifier": "732807",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000224148",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.