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BROADVIEW HEIGHTS FAMILY MEDICINE, INC
NPI 1063495224
Family Medicine in Broadview Hts, OH

Active since November 22, 2005
8075 TOWN CENTRE DR STE E, BROADVIEW HTS, OH 44147(440) 717-6100(440) 546-1382 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Broadview Heights Family Medicine, Inc NPPES

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

BROADVIEW HEIGHTS FAMILY MEDICINE, INC (NPI 1063495224) is a healthcare organization registered as a family medicine in Broadview Hts, Ohio and active in the NPI registry since November 2005. The organization lists Mark A Lang, Owner, as its authorized official.

NPPES Registry Identity

NPI1063495224
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBROADVIEW HEIGHTS FAMILY MEDICINE, INC
Location Address8075 TOWN CENTRE DR STE EBroadview Hts, OH 44147-4011
Mailing Address2001 E Royalton RdBroadview Hts, OH 44147-2811 · (440) 717-6100 · Fax (440) 546-1382
Phone(440) 717-6100
Fax(440) 546-1382
Organization SubpartNo
Authorized OfficialMark A LangOwner · (440) 717-6100
Enumeration DateNovember 22, 2005
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1063495224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8075 TOWN CENTRE DR STE E, Broadview Hts, OH 44147
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Other Identifiers 1

Medicaid2234764OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Broadview Heights Family Medicine, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Broadview Heights Family Medicine, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Matthew Andresen, MD
Family Practice
NPI 1295909539
8075 TOWN CENTRE DR STE E
Broadview Heights, OH 44147
(440) 717-6100
✔ PECOS✔ Accepts MedicareSame address
Melinda Defilippo Szucs, DO
Family Practice
NPI 1083833925
2001 E ROYALTON RD
Broadview Hts, OH 44147
(440) 717-6100
✔ PECOS0.6 mi
Christine King, MD
Family Practice
NPI 1821068560
2001 E ROYALTON RD
Broadview Hts, OH 44147
(440) 717-6100
✔ PECOS✔ Accepts Medicare0.6 mi
Michelle Mackey-Sawyer, M.D
Family Practice
NPI 1801891163
2001 E ROYALTON RD
Broadview Hts, OH 44147
(440) 717-6100
✔ PECOS✔ Accepts Medicare0.6 mi
Michelle Petrie
Nurse Practitioner
NPI 1336704972
2055 ALEXANDRIA WAY
Macedonia, OH 44056
(330) 468-3312
✔ PECOS9.5 mi
Jennifer Gould, FNP-C
Nurse Practitioner
NPI 1912595901
2101 ADELBERT RD
Cleveland, OH 44106
(216) 844-3911
✔ PECOS✔ Accepts Medicare14 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D0952647

Broadview Heights Family Medicine, Inc · Broadview Heights, OH
Expired · Oct 18, 2026
CLIA Number36D0952647
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorMichelle Mackey-Sawyer
Laboratory Phone(440) 717-6100
Laboratory LocationBroadview Heights Family Medicine, Inc8075 Town Centre Dr., Suite E, Broadview Heights, OH 44147
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Broadview Heights Family Medicine, Inc's NPI number?

The NPI number for Broadview Heights Family Medicine, Inc is 1063495224. It was assigned to this organization in the NPPES registry on November 22, 2005.

Where is Broadview Heights Family Medicine, Inc located?

Broadview Heights Family Medicine, Inc is located at 8075 Town Centre Dr Ste E, Broadview Hts, OH 44147. The listed phone number is (440) 717-6100.

What is Broadview Heights Family Medicine, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Broadview Heights Family Medicine, Inc enrolled in Medicare?

Yes. Broadview Heights Family Medicine, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Broadview Heights Family Medicine, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Broadview Heights Family Medicine, Inc. A 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 the clinician's services. The largest specialties are Family Practice (4) and Nurse Practitioner (2). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Broadview Heights Family Medicine, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Broadview Heights Family Medicine, Inc 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.

When was this NPI record last updated?

The NPPES record for Broadview Heights Family Medicine, Inc was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.