Individual ProviderEhsan ChitsazInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900(216) 778-7800PECOS EnrollmentBased on the most recent information from CMS, provider Ehsan Chitsaz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:20 AM.Profile DetailsProvider ID1285993576Provider TypeIndividualFull NameChitsaz, EhsanTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date5/8/2012Last Updated1/31/2024Contact InformationPractice LocationPractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900Phone(216) 778-7800FaxUnlisted FaxMailing LocationMailing Address2500 Metrohealth Dr, Cleveland, OH 44109-1900Phone(216) 778-7800FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RG0100XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense35.132790OhioCode207RG0100XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense036-168165Illinois