COMMUNITY INTENSIVISTS, LLC – Pulmonary Disease Physician, NPI 1992131742
Pulmonary Disease Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for COMMUNITY INTENSIVISTS, LLC
13207 Ravenna Rd
Chardon, OH 440247032
Phone: (440) 542-5023
Fax: (440) 542-5029
Type: Location
27100 Chardon Rd
Richmond Heights, OH 441431116
Phone: (440) 572-5000
Type: Location
30575 BAINBRIDGE RD STE 200
CLEVELAND, OH 441392275
Phone: (440) 542-5000
Fax: (440) 542-5005
Type: Mailing
667 Eastland Ave SE
Warren, OH 444844503
Phone: (330) 841-4000
Type: Location
7007 Powers Blvd
Parma, OH 441295437
Phone: (440) 743-4333
Type: Location
36000 Euclid Ave # 1
Willoughby, OH 440944625
Phone: (440) 953-9600
Type: Location
18697 Bagley Rd
Middleburg Heights, OH 441303417
Phone: (440) 816-8000
Type: Location
7590 Auburn Rd
Concord Township, OH 440779176
Phone: (440) 375-8100
Type: Location
1320 Mercy Dr NW 6 Main
Canton, OH 447082614
Phone: (330) 489-8198
Type: Location
667 Eastland Ave SE Fl 5
Warren, OH 444844503
Phone: (330) 841-4750
Type: Location
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 441303417
Phone: (440) 816-8000
Type: Location
13207 RAVENNA RD
CHARDON, OH 440247032
Phone: (440) 542-5023
Fax: (440) 542-5029
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-06-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-01-31 (859 days ago).
Enrollment records
1
Earliest due date
2024-01-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20140623001963 | O | Clinic/Group Practice | OH | 2024-01-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44024)
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