Dr. Jane S. Disa, D.O.
Internal Medicine in Beachwood, OH. Individual provider (NPI-1).
NPI number1568420552
StatusActive
Last updated in NPPESFeb 28, 2020
Details
- NPI
- 1568420552
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jane S. Disa
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2006
- Certification date
- Feb 28, 2020
- Last updated
- Feb 28, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 34-006034 | OH | Yes |
| 174400000X | Specialist | 34-006034 | OH |
Practice location
4110 Warrensville Center RdSuite 102
Beachwood, OH 44122-7024
Phone 216-491-7036 · Fax 216-491-7776
Mailing address
275 Springside Dr#100
Akron, OH 44333-4548
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