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JEROME M PRIVITERA DPM, INC.
NPI 1700969102
Podiatrist - Foot & Ankle Surgery in Mentor, OH

Active since October 23, 2006
9485 MENTOR AVE, SUITE 200, MENTOR, OH 44060(440) 205-5878(440) 205-5875 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jerome M Privitera Dpm, Inc. NPPES

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

JEROME M PRIVITERA DPM, INC. (NPI 1700969102) is a healthcare organization registered as a foot & ankle surgery in Mentor, Ohio and active in the NPI registry since October 2006. The organization lists Jerome M Privitera, Owner, as its authorized official.

NPPES Registry Identity

NPI1700969102
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameJEROME M PRIVITERA DPM, INC.
Location Address9485 MENTOR AVE, SUITE 200Mentor, OH 44060-8723
Mailing Address9485 Mentor Ave, Suite 200Mentor, OH 44060-8723 · (440) 205-5878 · Fax (440) 205-5875
Phone(440) 205-5878
Fax(440) 205-5875
Organization SubpartNo
Authorized OfficialJerome M PriviteraOwner · (440) 205-5878
Enumeration DateOctober 23, 2006
Last NPPES UpdateOctober 15, 2012
✔ NPI 1700969102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in OH · OH002454
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X · License OH001535 (OH)
9485 MENTOR AVE, Mentor, OH 44060
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Other Identifiers 6

Medicaid2310654OH
Medicaid2310663OH
Medicare ID-Type Unspecified9321602OH · 44057
Medicare ID-Type Unspecified9321601OH · 44060
Medicaid2310636OH
Medicare NSC5673160001OH

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 CareSource, Molina Healthcare.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)

Jerome M Privitera Dpm, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jerome M Privitera DPM, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jerome Privitera, DPM
Podiatry
NPI 1639173628
9485 MENTOR AVE STE 200
Mentor, OH 44060
(440) 205-5878
✔ PECOS✔ Accepts Medicare0.1 mi

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

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 Jerome M Privitera Dpm, Inc.'s NPI number?

The NPI number for Jerome M Privitera Dpm, Inc. is 1700969102. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is Jerome M Privitera Dpm, Inc. located?

Jerome M Privitera Dpm, Inc. is located at 9485 Mentor Ave Suite 200, Mentor, OH 44060. The listed phone number is (440) 205-5878.

What is Jerome M Privitera Dpm, Inc.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jerome M Privitera Dpm, Inc. enrolled in Medicare?

Yes. Jerome M Privitera Dpm, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jerome M Privitera Dpm, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Jerome M Privitera Dpm, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jerome M Privitera Dpm, Inc. accept?

Health plans from CareSource and Molina Healthcare list Jerome M Privitera Dpm, 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 Jerome M Privitera Dpm, Inc. was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.