ID CONSULTS AND SERVICES, PA
NPI 1043551468
Clinic/Center - Multi-Specialty in Key West, FL
About Id Consults And Services, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ID CONSULTS AND SERVICES, PA (NPI 1043551468) is a healthcare organization registered as a multi-specialty in Key West, Florida and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Darryl Wallace, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Id Consults And Services, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Id Consults And Services, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2129760
Id Consults And Services, PA · Key West, FLFrequently 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 Id Consults And Services, PA's NPI number?
The NPI number for Id Consults And Services, PA is 1043551468. It was assigned to this organization in the NPPES registry on March 11, 2013.
Where is Id Consults And Services, PA located?
Id Consults And Services, PA is located at 3142 Northside Dr Suite 101, Key West, FL 33040. The listed phone number is (305) 615-3300.
What is Id Consults And Services, PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Id Consults And Services, PA enrolled in Medicare?
Yes. Id Consults And Services, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Id Consults And Services, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Id Consults And Services, PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Id Consults And Services, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2129760) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Id Consults And Services, PA was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Id Consults And Services, Pa · NPI 1043551468
Multi-Specialty organization in Key West, Florida. Organization record, active in the CMS NPPES registry since March 11, 2013.
## Identity
- **NPI:** 1043551468 (Entity type: Organization)
- **Enumerated:** March 11, 2013
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Darryl Wallace, MANAGER
## Practice location
- **Address:** 3142 NORTHSIDE DR, SUITE 101, Key West, FL 33040-8012
- **Phone:** (305) 615-3300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043551468) · Data from the CMS NPPES public registry.