CARL BARTON GILLOMBARDO MD
NPI 1952758443
Internal Medicine in Cleveland, OH

Q: What is Carl Gillombardo's NPI number?

The NPI number for Carl Gillombardo is 1952758443. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Q: What is Carl Gillombardo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carl Gillombardo was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 16, 2016PECOS EnrolledAccepts Medicare Assignment

9500 EUCLID AVE, CLEVELAND, OH 44195(216) 444-2200 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2019, May 16, 2016 (2 updates tracked since 2016).

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About Carl Barton Gillombardo Md NPPES

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

CARL BARTON GILLOMBARDO MD (NPI 1952758443) is an individual internal medicine provider in Cleveland, Ohio, licensed in Ohio (35.136395) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Uh Cleveland Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1952758443

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameCARL BARTON GILLOMBARDOCredential: MD

Location Address9500 EUCLID AVECleveland, OH 44195-0001

Mailing Address2606 Hampshire RdCleveland Heights, OH 44106-2511

Phone(216) 444-2200

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateMay 16, 2016

Last NPPES UpdateJuly 9, 20192 updates tracked since enumeration

✔ NPI 1952758443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OH · 35.136395

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9500 EUCLID AVE, Cleveland, OH 44195

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Carl Barton Gillombardo 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 ID2860825338

PECOS Enrollment IDI20191214000320

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 Reassignments

Medicare enrollment records show Carl Gillombardo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Hospitals Medical Group Inc

0.9 mi

Multi-Specialty

11100 EUCLID AVE
Cleveland, OH 44106

Reassigned Medicare billing, Ohio enrollment
3,958 clinicians in this Medicare group

NPI 1669499414 (216) 844-1000

Lake Hospital System, Inc.

5.8 mi

Vascular Surgery

20050 HARVARD AVE
Warrensville Heights, OH 44122

Reassigned Medicare billing, Ohio enrollment
285 clinicians in this Medicare group

NPI 1669609756 (440) 953-1898

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 4

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

104 services41 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

25 services23 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

12 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360137

Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County

Emergency services Birthing friendly

University Hospitals Ahuja Medical Center

Acute Care Hospitals · Beachwood, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360359

Location3999 Richmond RoadBeachwood, OH 44122 · Cuyahoga County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44195 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.

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.

MS. MARY COLLEEN RATH R.D., L.D., CNSC

Dietitian, Registered

9500 EUCLID AVE, M17
CLEVELAND, OH 44195

Cuyahoga County (216) 444-6986

DR. CHRISTOPHER F TENGGARDJAJA M.D.

Urology (Urogynecology and Reconstructive Pelvic Surgery)

9500 EUCLID AVE, Q10-1
CLEVELAND, OH 44195

Cuyahoga County (216) 444-5600

DR. MASATO FUJIKI M.D., PH.D.

Surgery

9500 EUCLID AVE
CLEVELAND, OH 44195

Cuyahoga County (216) 444-8007

KRISTIN R JOHNSON CNP

Nurse Practitioner

9500 EUCLID AVE
CLEVELAND, OH 44195

Cuyahoga County (800) 223-2273

MONICA LYNN SHEIN CRNA

Nurse Anesthetist, Certified Registered

9500 EUCLID AVE
CLEVELAND, OH 44195

Cuyahoga County (800) 223-2273

MRS. TONYA RENEE GOINGS ACNP-BC

Nurse Practitioner (Acute Care)

9500 EUCLID AVE, SUITE RC25
CLEVELAND, OH 44195

Cuyahoga County (216) 444-2200

MS. DANA ANNE RUBIS CNP

Nurse Practitioner (Critical Care Medicine)

9500 EUCLID AVE, G58
CLEVELAND, OH 44195

Cuyahoga County (216) 444-5086

DR. RACHAEL C SULLIVAN M.D.

Surgery

9500 EUCLID AVE
CLEVELAND, OH 44195

Cuyahoga County (440) 449-1101

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 Carl Gillombardo's NPI number?

The NPI number for Carl Gillombardo is 1952758443. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Where is Carl Gillombardo located?

Carl Gillombardo practices at 9500 Euclid Ave, Cleveland, OH 44195. The listed phone number is (216) 444-2200.

What is Carl Gillombardo's specialty?

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

Is Carl Gillombardo enrolled in Medicare?

Yes. Carl Gillombardo 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 organizations bill Medicare for Carl Gillombardo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Gillombardo reassigns Medicare benefits to 2 organizations: University Hospitals Medical Group Inc (Cleveland, OH) and Lake Hospital System, Inc. (Warrensville Heights, OH). Each 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 Carl Gillombardo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carl Gillombardo accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 3 other insurers list Carl Gillombardo 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 Carl Gillombardo affiliated with any hospitals?

According to CMS data, Carl Gillombardo is affiliated with Uh Cleveland Medical Center and University Hospitals Ahuja Medical Center.

When was this NPI record last updated?

The NPPES record for Carl Gillombardo was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.