PETER ALEXANDER DEGOLIA MD NPI 1750314662

NPI Information

NPI: 1750314662
Provider Name: PETER ALEXANDER DEGOLIA, MD
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
11100 EUCLID AVENUE
CLEVELAND, OH
ZIP 44106
Phone: (216) 844-3944
Get Directions

Peter Alexander Degolia, MD is a geriatric medicine internal medicine in Cleveland, OH. The provider is 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 Alexander Degolia, MD NPI is 1750314662. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11100 EUCLID AVENUE
CLEVELAND, OH
ZIP 44106
Phone: (216) 844-3944

The NPI 1750314662 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 3/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0300X	Internal Medicine	Geriatric Medicine	35062016	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000221407	OTHER	OHIO	UNISON
2	000000531122	OTHER	OHIO	ANTHEM
3	F85904	MEDICARE UPIN	OHIO
4	P00412320	OTHER	OHIO	RAILROAD MEDICARE
5	0968243	MEDICAID	OHIO
6	DE0766053	MEDICARE PIN	OHIO
7	414960	OTHER	OHIO	WELLCARE
8	DE7276121	MEDICARE ID-TYPE UNSPECIFIED	OHIO
9	4558739	OTHER	OHIO	AETNA
10	738457	OTHER	OHIO	BUCKEYE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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