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SOUTHWEST GENERAL MEDICAL GROUP INC
NPI 1134239676
Internal Medicine in Cleveland, OH

Active since August 30, 2006CLIA Certified · 11 labs
7255 OLD OAK BLVD STE C202, CLEVELAND, OH 44130(440) 816-5390 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 18, 2024, Jun 9, 2022, May 16, 2022 and 2 more (5 updates tracked since 2018).

About Southwest General Medical Group Inc NPPES

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

SOUTHWEST GENERAL MEDICAL GROUP INC (NPI 1134239676) is a healthcare organization registered as an internal medicine in Cleveland, Ohio and active in the NPI registry since August 2006. The organization holds 11 active CLIA laboratory certificates, maintains 25 additional practice locations, and lists Heather Wagner, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1134239676
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHWEST GENERAL MEDICAL GROUP INC
Location Address7255 OLD OAK BLVD STE C202Cleveland, OH 44130-3300
Mailing AddressPo Box 638269Cincinnati, OH 45263-0001 · (440) 816-5390
Phone(440) 816-5390
Organization SubpartNo
Authorized OfficialHeather WagnerExecutive Director · (440) 816-4906
Enumeration DateAugust 30, 2006
Last NPPES UpdateSeptember 18, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1134239676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedAudiologistTaxonomy 231H00000X
7255 OLD OAK BLVD STE C202, Cleveland, OH 44130
Open in Google Maps ↗

Secondary Practice Locations 25

Location 17215 Old Oak Blvd # C202Cleveland, OH 44130-3340 · Phone (440) 816-5390
Location 27225 Old Oak Blvd Ste B315Cleveland, OH 44130-3345 · Phone (440) 816-8200
Location 37255 Old Oak Blvd Ste C108Cleveland, OH 44130-3329 · Phone (440) 816-2786
Location 47255 Old Oak Blvd Ste C406Cleveland, OH 44130-3331 · Phone (440) 816-4546
Location 57255 Old Oak Blvd Ste C412Cleveland, OH 44130-3331 · Phone (440) 816-4546
Location 67255 Old Oak Blvd # B-311Cleveland, OH 44130-3329 · Phone (440) 816-2271
Location 7970 E Washington St Ste 5DMedina, OH 44256-2181 · Phone (330) 725-5972
Location 8970 E Washington St Ste 2EMedina, OH 44256-2181 · Phone (330) 722-8707
Location 97255 Old Oak Blvd Ste C308Cleveland, OH 44130-3336 · Phone (440) 816-2735
Location 106115 Powers Blvd Ste 303Parma, OH 44129-5469 · Phone (440) 743-2801
Location 114065 Center Rd Ste 220Brunswick, OH 44212-5325 · Phone (330) 558-0070
Location 1225761 Lorain Rd Fl 3North Olmsted, OH 44070-3369 · Phone (440) 779-1112
Location 132322 E 22nd St Ste 207Cleveland, OH 44115-3100 · Phone (216) 592-2801
Location 1418780 Bagley Rd Ste 104Cleveland, OH 44130-3304 · Phone (440) 816-5950
Location 1518697 Bagley RdCleveland, OH 44130-3417 · Phone (440) 816-8200
Location 1618181 Pearl Rd Ste A206Strongsville, OH 44136-6950 · Phone (440) 816-5950
Location 177215 Old Oak Blvd Ste A416Cleveland, OH 44130-3377 · Phone (440) 816-2690
Location 186900 Pearl Rd Ste 300Cleveland, OH 44130-3640 · Phone (440) 884-9000
Location 197171 Royalton Rd # 201North Royalton, OH 44133-4818 · Phone (440) 816-2878
Location 207215 Old Oak Blvd Ste A310Cleveland, OH 44130-3340 · Phone (440) 816-2820
Location 211350 W Bagley RdBerea, OH 44017-2912 · Phone (440) 816-5188
Location 2215299 Bagley Rd Ste 300Cleveland, OH 44130-4823 · Phone (440) 234-5150
Location 2318100 Royalton RdStrongsville, OH 44136-9500 · Phone (440) 580-3279
Location 2418181 Pearl Rd Ste B206Strongsville, OH 44136-6951 · Phone (440) 816-4930
Location 2518181 Pearl Rd Ste B204Strongsville, OH 44136-6951 · Phone (440) 816-4925

Other Identifiers 1

Medicaid2238144OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, 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)

Southwest General Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

282

Medicare enrollment records show 282 clinicians reassign Medicare billing to Southwest General Medical Group Inc, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 193 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 36

Nurse Practitioner81
Family Practice20
Internal Medicine19
Certified Registered Nurse Anesthetist (CRNA)17
Anesthesiology16
Anesthesiology Assistant16
Hospitalist14
Obstetrics/Gynecology13
28 other specialties86

Nearest to this location (20)

See all 282
Jai Lee, M.D.
Cardiac Surgery
NPI 1861467037
7255 OLD OAK BLVD STE B-311
Cleveland, OH 44130
(440) 816-2638
✔ PECOS✔ Accepts MedicareSame address
Mary Pallotta, CNP, MSN
Nurse Practitioner
NPI 1023419470
7255 OLD OAK BLVD
Middleburg Heights, OH 44130
(440) 816-2525
✔ PECOS✔ Accepts MedicareSame address
David Fox, MD
Psychiatry
NPI 1265423834
7265 OLD OAK BLVD
Cleveland, OH 44130
(440) 816-5790
✔ PECOS✔ Accepts MedicareSame address
Michael Gabor, FNP-C
Nurse Practitioner
NPI 1871064147
7265 OLD OAK BLVD
Cleveland, OH 44130
(440) 816-5790
✔ PECOS✔ Accepts MedicareSame address
Daniel Polster, MD
Psychiatry
NPI 1902897887
7265 OLD OAK BLVD
Middleburg Heights, OH 44130
(440) 816-5790
✔ PECOS✔ Accepts MedicareSame address
Cynthia Toncler, LISW-S
Clinical Social Worker
NPI 1275824740
7265 OLD OAK BLVD
Cleveland, OH 44130
(440) 816-5790
✔ PECOS✔ Accepts MedicareSame address
John Alton, MD
Obstetrics/Gynecology
NPI 1326024233
7255 OLD OAK BLVD # C-202
Cleveland, OH 44130
(440) 816-5390
✔ PECOS✔ Accepts Medicare0.1 mi
Joseph Bartal, DPM
Podiatry
NPI 1306887930
7255 OLD OAK BLVD SUITE C308
Cleveland, OH 44130
(440) 816-2735
✔ PECOS✔ Accepts Medicare0.1 mi
Sanjit Bindra, M.D.
Endocrinology
NPI 1003985078
7255 OLD OAK BLVD STE C406
Cleveland, OH 44130
(440) 816-2270
✔ PECOS✔ Accepts Medicare0.1 mi
Vikram Bisen, MD
Interventional Cardiology
NPI 1568625523
7255 OLD OAK BLVD STE C208
Middleburg Heights, OH 44130
(440) 816-2708
✔ PECOS✔ Accepts Medicare0.1 mi
Michael Brown, DO
Vascular Surgery
NPI 1811079379
7255 OLD OAK BLVD STE C108
Cleveland, OH 44130
(440) 816-2786
✔ PECOS✔ Accepts Medicare0.1 mi
Michael Deucher, MD
Cardiovascular Disease (Cardiology)
NPI 1962432518
7255 OLD OAK BLVD STE C208
Cleveland, OH 44130
(440) 816-2708
✔ PECOS✔ Accepts Medicare0.1 mi
Bartolomeo Giannattasio, MD
Cardiac Electrophysiology
NPI 1174552251
7255 OLD OAK BLVD C208
Middleburg Heights, OH 44130
(440) 816-2708
✔ PECOS✔ Accepts Medicare0.1 mi
Alexandra Mcdermott, APRN, FNP-C
Nurse Practitioner
NPI 1588209639
7255 OLD OAK BLVD STE C208
Middleburg Heights, OH 44130
(440) 816-2708
✔ PECOS✔ Accepts Medicare0.1 mi
Conor Bennett, DO
Anesthesiology
NPI 1851978381
18697 BAGLEY RD
Cleveland, OH 44130
(440) 816-8000
✔ PECOS✔ Accepts Medicare0.1 mi
Jessica Hollenbach, DO
Internal Medicine
NPI 1780262527
18697 BAGLEY RD
Middleburg Heights, OH 44130
(440) 816-8000
✔ PECOS✔ Accepts Medicare0.1 mi
Andrea Kras, LPC
Mental Health Counselor
NPI 1578015061
18697 BAGLEY RD
Cleveland, OH 44130
(440) 816-6945
✔ PECOS0.1 mi
Clara Kit Nam Lai, MBBS
General Surgery
NPI 1821659418
18697 BAGLEY RD
Cleveland, OH 44130
(440) 816-5000
✔ PECOS✔ Accepts Medicare0.1 mi
Samantha Leduc, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194565218
18697 BAGLEY RD
Cleveland, OH 44130
(440) 816-8000
✔ Accepts Medicare0.1 mi
Lindsay Nguyen, LISW
Clinical Social Worker
NPI 1881376283
18697 BAGLEY RD
Middleburg Heights, OH 44130
(440) 816-6944
✔ PECOS✔ Accepts Medicare0.1 mi
See all 282 clinicians

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 11

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 of Waiver 36D2074106

Southwest General Medical Group Brunswick Family Practice · Brunswick, OH
Active · expires Feb 28, 2028
CLIA Number36D2074106
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorAlicia Blacksmith
Laboratory Phone(330) 558-0070
Laboratory LocationSouthwest General Medical Group Brunswick Family Practice4065 Center Rd Ste 220, Brunswick, OH 44212
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2014946

Southwest General Medical Group General Surgery · Middleburg Heights, OH
Active · expires Oct 18, 2028
CLIA Number36D2014946
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2026
Certificate Expiration DateOctober 18, 2028
Laboratory DirectorCraig Eyman
Laboratory Phone(440) 816-2820
Laboratory LocationSouthwest General Medical Group General Surgery7215 Old Oak Blvd Ste A310, Middleburg Heights, OH 44130
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D0340029

Southwest General Medical Group Medina Cardiovascular Medicine · Medina, OH
Active · expires Aug 31, 2028
CLIA Number36D0340029
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorThan M. Jain
Laboratory Phone(330) 722-8707
Laboratory LocationSouthwest General Medical Group Medina Cardiovascular Medicine970 East Washington Street Suite 2-E, Medina, OH 44256
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2015346

Southwest General Medical Group North Royalton Family Practice · North Royalton, OH
Active · expires Apr 8, 2028
CLIA Number36D2015346
Laboratory TypePhysician Office
Certificate Effective DateApril 9, 2026
Certificate Expiration DateApril 8, 2028
Laboratory DirectorGrace Song
Laboratory Phone(440) 816-2878
Laboratory LocationSouthwest General Medical Group North Royalton Family Practice10139 Royalton Road, Suite H, North Royalton, OH 44133
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2109447

Southwest General Medical Group Comprehensive Family Care · Middleburg Heights, OH
Active · expires Feb 24, 2028
CLIA Number36D2109447
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateFebruary 24, 2028
Laboratory DirectorTimothy Fetterman
Laboratory Phone(440) 816-5950
Laboratory LocationSouthwest General Medical Group Comprehensive Family Care18780 Bagley Rd, Suite 104, Middleburg Heights, OH 44130
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D0906855

Southwest General Medical Group Inc Family · Berea, OH
Active · expires Sep 19, 2027
CLIA Number36D0906855
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorDavid C. Ludwig
Laboratory Phone(440) 816-5188
Laboratory LocationSouthwest General Medical Group Inc Family1350 Bagley Road, Berea, OH 44017
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Southwest General Medical Group Inc's NPI number?

The NPI number for Southwest General Medical Group Inc is 1134239676. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Southwest General Medical Group Inc located?

Southwest General Medical Group Inc is located at 7255 Old Oak Blvd Ste C202, Cleveland, OH 44130. The listed phone number is (440) 816-5390.

What is Southwest General Medical Group Inc's specialty?

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

Is Southwest General Medical Group Inc enrolled in Medicare?

Yes. Southwest General Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southwest General Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 282 clinicians in 36 Medicare specialties reassign their Medicare billing to Southwest General Medical Group 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 Nurse Practitioner (81), Family Practice (20) and Internal Medicine (19). Of these, 6 practice at this address and 193 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southwest General Medical Group Inc hold CLIA laboratory certificates?

Yes. 11 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Southwest General Medical Group Inc accept?

Health plans from AmeriHealth Caritas Next and Anthem Blue Cross and Blue Shield list Southwest General Medical Group 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 Southwest General Medical Group Inc was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.