PETER A DEGOLIA MD – NPI #1750314662
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

PETER DEGOLIA is a physician located in CLEVELAND, OH. NPPES has assigned the NPI number 1750314662 to PETER DEGOLIA on July 07, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 18 years ago on Mar 06, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PETER DEGOLIA below.

NPI Profile for
PETER A. DEGOLIA

NPI Number
1750314662
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PETER A. DEGOLIA
Professional Name: PETER A DEGOLIA
Credentials
MD
Primary location
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Phone: (216) 844-3944 Fax:
Mailing address
3605 WARRENSVILLE CENTER RD
1ST FLOOR
SHAKER HEIGHTS, OH 44122
Phone: (216) 286-6295 Fax: (216) 286-6341
Sole Proprietor
No
Updated
Identifiers

Identifiers for PETER DEGOLIA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNAOH4558739
OTHERANTHEMOH000000531122
OTHERBUCKEYEOH738457
OTHERRAILROAD MEDICAREOHP00412320
OTHERUNISONOH000000221407
OTHERWELLCAREOH414960
MEDICAIDOH0968243
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)
OH 35062016

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
PETER DEGOLIA is affiliated with the following medical group(s):
  • HOSPITAL
    • METROHEALTH SYSTEM
      2500 METROHEALTH DRIVE
      CLEVELAND, OH 44109

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