Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jerome M Privitera, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1639173628

Dr. Jerome M Privitera, DPM is a Podiatry in Mentor, Ohio. Graduated from Kent State University College of Podiatric Medicine in 1987, 39 years ago. Accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
39
Trained at
Kent State University College of Podiatric Medicine
Licensed in
OH
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

9485 Mentor Ave Ste 200
Mentor, OH 44060-8723
Phone: (440) 205-5878
Fax: (440) 205-5875
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 002454 (OH)

Record details

NPI number1639173628
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 8, 2005
Last updated in NPPESJanuary 21, 2008
Mailing address9485 Mentor Ave, Ste 200, Mentor, OH 44060-8723

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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