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EDWARD STEVEN ROSENTHAL MD
NPI 1063406197
Internal Medicine in Garfield Heights, OH

Active since September 05, 2005PECOS EnrolledAccepts Medicare Assignment
12000 MCCRACKEN RD, #453, GARFIELD HEIGHTS, OH 44125(216) 581-4900(216) 581-7370 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edward Steven Rosenthal Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD STEVEN ROSENTHAL MD (NPI 1063406197) is an individual internal medicine provider in Garfield Heights, Ohio, licensed in Ohio (35-053841) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Akron General Medical Center, and is a graduate of Ohio State University College Of Medicine (1985).

NPPES Registry Identity

NPI1063406197
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEDWARD STEVEN ROSENTHALCredential: MD
Location Address12000 MCCRACKEN RD, #453Garfield Heights, OH 44125-2933
Mailing Address12000 Mccracken Rd, #453Garfield Heights, OH 44125-2933 · (216) 581-4900 · Fax (216) 581-7370
Phone(216) 581-4900
Fax(216) 581-7370
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1985
Enumeration DateSeptember 5, 2005
Last NPPES UpdateNovember 29, 2007
✔ NPI 1063406197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35-053841
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12000 MCCRACKEN RD, Garfield Heights, OH 44125
Open in Google Maps ↗

Other Identifiers 10

OtherT53841OH · Summacare Health Plan
Medicare PIN4043423OH
Other4041169OH · Aetna
Other000000189978OH · Anthem Blue Shield
Medicare PIN110220238OH
Other000000189978OH · Unicare
Other357410002OH · Caresource
Medicare UPINA17257
Medicaid0700487OH
Other533832OH · Advantra Freedom

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Corporation of Ohio.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edward Steven Rosenthal Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406855832
PECOS Enrollment IDI20061213000371
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Edward Rosenthal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Cleveland Clinic Foundation
5.8 mi
General Acute Care Hospital
9500 EUCLID AVE
Cleveland, OH 44195
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group
NPI 1679525919 (216) 444-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
331 services234 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
237 services237 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
131 services96 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
93 services93 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
90 services88 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
90 services88 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Akron General Medical Center

Acute Care Hospitals · Akron, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360027
Location1 Akron General AvenueAkron, OH 44307 · Summit County
Emergency services Birthing friendly

Marymount Hospital

Acute Care Hospitals · Garfield Heights, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360143
Location12300 Mccracken RoadGarfield Heights, OH 44125 · Cuyahoga County
Emergency services

South Pointe Hospital

Acute Care Hospitals · Warrensville Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360144
Location20000 Harvard RoadWarrensville Heights, OH 44122 · Cuyahoga County

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360230
Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
31 suppliers89 claims221 services$5.32 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
5 suppliers11 claims12 services$2.66 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
22 suppliers48 claims58 services$1.01 avg. paid by Medicare
Stationary oxygen contents, liquid, 1 month's supply = 1 unit E0442
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$43.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE CLEVELAND CLINIC FOUNDATION
General Practice
12000 MCCRACKEN RD, STE 450
GARFIELD HEIGHTS, OH 44125
Cuyahoga County (216) 444-2273
THE CLEVELAND CLINIC FOUNDATION
General Practice
12000 MCCRACKEN RD, STE 206
GARFIELD HEIGHTS, OH 44125
Cuyahoga County (216) 444-2273
DR. PAMELA JEAN HRUBY MD
Obstetrics & Gynecology
12000 MCCRACKEN RD, SUITE 450
GARFIELD HTS, OH 44125
Cuyahoga County (216) 663-7355
DR. SHUKRI M.F. ELKHAIRI M.D.
Surgery
12000 MCCRACKEN RD, SUITE 214
GARFIELD HEIGHTS, OH 44125
Cuyahoga County (216) 587-3422
DR. LISA DICRISTOFARO M.D.
Internal Medicine
12000 MCCRACKEN RD, SUITE 550
GARFIELD HEIGHTS, OH 44125
Cuyahoga County (216) 581-8369
DAVID M WEINER MD
Internal Medicine (Pulmonary Disease)
12000 MCCRACKEN RD, 201
GARFIELD HTS, OH 44125
Cuyahoga County (216) 662-5600
THE CLEVELAND CLINIC FOUNDATION
General Practice
12000 MCCRACKEN RD, STE 460
GARFIELD HEIGHTS, OH 44125
Cuyahoga County (216) 444-2273
LEAH VELICK CNP
Nurse Practitioner (Family)
12000 MCCRACKEN RD, SUITE # 201
GARFIELD HTS, OH 44125
Cuyahoga County (216) 662-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Rosenthal's NPI number?

The NPI number for Edward Rosenthal is 1063406197. It was assigned to this individual provider in the NPPES registry on September 5, 2005.

Where is Edward Rosenthal located?

Edward Rosenthal practices at 12000 Mccracken Rd #453, Garfield Heights, OH 44125. The listed phone number is (216) 581-4900.

What is Edward Rosenthal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Edward Rosenthal enrolled in Medicare?

Yes. Edward Rosenthal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Edward Rosenthal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Rosenthal reassigns Medicare benefits to The Cleveland Clinic Foundation (Cleveland, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Rosenthal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Rosenthal accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Corporation of Ohio list Edward Rosenthal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edward Rosenthal affiliated with any hospitals?

According to CMS data, Edward Rosenthal is affiliated with Akron General Medical Center, Marymount Hospital, South Pointe Hospital, Cleveland Clinic and Hillcrest Hospital.

When was this NPI record last updated?

The NPPES record for Edward Rosenthal was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.