Individual provider Active NPI

Martin L. Ribovich, M.D.

  • Radiation Oncology Physician
  • Elyria, OH
National Provider Identifier
1992797989
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35069892 Issued in OH
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

Updated by the provider on Mar 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000529634OtherOHANTHEM
363951OtherOHWELLCARE
2017598MedicaidOH
5461490OtherOHAETNA
732807OtherOHBUCKEYE
000000224148OtherOHUNISON

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
I20040325000329 OH Practitioner - Radiation Oncology 9638061898 Reassigns benefits to 2 organizations

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
Cleveland Urology Associates, IncGroup PAC ID 6507753688, 9 clinicians
Cleveland Radiation Oncology, IncGroup PAC ID 0244324150, 3 clinicians

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

LicenseStateTypeSpecialty
35069892OHMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Urology Associates, Inc Radiation Oncology CurrentSince Apr 24, 2018 Accepting new patients
Cleveland Radiation Oncology, Inc CurrentSince Jul 1, 2010 Accepting new patients
Southwest Urology, LLC CurrentSince Jan 1, 2017 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

  • Direct secure messaging: mribovich@direct.swgeneral.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.