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DANIELLE SAMONE BULLOCK-MOWOH MD
NPI 1598394603
Family Medicine in Cleveland, OH

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
15105 SAINT CLAIR AVE, CLEVELAND, OH 44110(216) 800-8020(216) 830-7652 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 24, 2026, Sep 5, 2023, Apr 2, 2020 (3 updates tracked since 2020).

About Danielle Samone Bullock-mowoh Md NPPES

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

DANIELLE SAMONE BULLOCK-MOWOH MD (NPI 1598394603) is an individual family medicine provider in Cleveland, Ohio, licensed in Ohio (35.149097) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (2020).

NPPES Registry Identity

NPI1598394603
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDANIELLE SAMONE BULLOCK-MOWOHCredential: MD
Location Address15105 SAINT CLAIR AVECleveland, OH 44110-3719
Mailing Address15105 Saint Clair AveCleveland, OH 44110-3719 · (216) 800-8020 · Fax (216) 830-7652
Phone(216) 800-8020
Fax(216) 830-7652
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateApril 24, 20263 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1598394603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.149097
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.
15105 SAINT CLAIR AVE, Cleveland, OH 44110
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Danielle Samone Bullock-mowoh 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 ID9931522984
PECOS Enrollment IDI20230918001892
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44110 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 8

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

DEDICATED OHIO HOLDING, LLC
Non-Pharmacy Dispensing Site
15105 SAINT CLAIR AVE
CLEVELAND, OH 44110
Cuyahoga County (216) 800-8020
MR. LAWRENCE OGOR IWELUNMOR PHARMACIST
Pharmacist
15105 SAINT CLAIR AVE
CLEVELAND, OH 44110
Cuyahoga County (216) 451-6260
MR. RAJA SEKHAR MACHANA
Pharmacist
15105 SAINT CLAIR AVE
CLEVELAND, OH 44110
Cuyahoga County (216) 451-6260
KIMBERLY PEACOCK DO
Family Medicine
15105 SAINT CLAIR AVE
CLEVELAND, OH 44110
Cuyahoga County (216) 800-8020
RAPHAELLE WOODS NURSE PRACTITIONER
Nurse Practitioner (Gerontology)
15105 SAINT CLAIR AVE
CLEVELAND, OH 44110
Cuyahoga County (216) 800-8020
MICHAEL STUHLER ANP
Nurse Practitioner (Adult Health)
15105 SAINT CLAIR AVE
CLEVELAND, OH 44110
Cuyahoga County (216) 800-8020
ALLISON REINARZ DO, MS
Family Medicine
15105 SAINT CLAIR AVE
CLEVELAND, OH 44110
Cuyahoga County (216) 800-8020
FABIAN D RODRIGUEZ M.D.
Internal Medicine
15105 SAINT CLAIR AVE
CLEVELAND, OH 44110
Cuyahoga County (216) 800-8020

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 Danielle Bullock-mowoh's NPI number?

The NPI number for Danielle Bullock-mowoh is 1598394603. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Danielle Bullock-mowoh located?

Danielle Bullock-mowoh practices at 15105 Saint Clair Ave, Cleveland, OH 44110. The listed phone number is (216) 800-8020.

What is Danielle Bullock-mowoh's specialty?

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

Is Danielle Bullock-mowoh enrolled in Medicare?

Yes. Danielle Bullock-mowoh 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.

When was this NPI record last updated?

The NPPES record for Danielle Bullock-mowoh was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.