| Evolve Health | |
|
1730 W 25th St Ste 2e Cleveland OH 44113-3108 | |
| (216) 696-4140 | |
| (216) 363-2058 |
| Full Name | Evolve Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 1730 W 25th St Ste 2e, Cleveland, Ohio |
| Authorized Official Name and Position | David Miller (VP OPERATIONS & STRATEGY) |
| Authorized Official Contact | 7403608976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Health 10290 Alliance Rd Blue Ash OH 45242-4710 Ph: (216) 696-4140 | Evolve Health 1730 W 25th St Ste 2e Cleveland OH 44113-3108 Ph: (216) 696-4140 |
| NPI Number | 1083385181 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 09/13/2024 |
| Medicare PECOS PAC ID | 2062801301 |
|---|---|
| Medicare Enrollment ID | O20211108002504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083385181 | NPI | - | NPPES |
| 0467091 | Medicaid | OH |
| Provider Name | Jayantilal Bhimani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619943388 PECOS PAC ID: 6002901634 Enrollment ID: I20070927000573 |
| Provider Name | Cathleen A Mcknight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174830590 PECOS PAC ID: 1052508744 Enrollment ID: I20101207000859 |
| Provider Name | Misha Dilip Yajnik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851612709 PECOS PAC ID: 6800285164 Enrollment ID: I20211109000343 |
| Provider Name | Celin Raymond Caraballo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134851520 PECOS PAC ID: 7113308347 Enrollment ID: I20220720000772 |
| Provider Name | Ankit Rohatgi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306001177 PECOS PAC ID: 9638341571 Enrollment ID: I20221205002280 |
| Provider Name | Priyanka Vora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366067621 PECOS PAC ID: 0042688335 Enrollment ID: I20240522003368 |
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