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CUSTOMCARE MD LLC
NPI 1093904476
Internal Medicine in Mayfield Heights, OH

Active since October 22, 2007CLIA 36D1062305 · Waiver
300 ALLEN BRADLEY DR STE 240, MAYFIELD HEIGHTS, OH 44124(216) 382-8000(216) 297-3233 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Customcare Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUSTOMCARE MD LLC (NPI 1093904476) is a healthcare organization registered as an internal medicine in Mayfield Heights, Ohio and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through December 11, 2026 and lists Richard Tomm, Partner, as its authorized official.

NPPES Registry Identity

NPI1093904476
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCUSTOMCARE MD LLC
Location Address300 ALLEN BRADLEY DR STE 240Mayfield Heights, OH 44124-6130
Mailing Address300 Allen Bradley Dr Ste 240Mayfield Heights, OH 44124-6130 · (216) 382-8000 · Fax (216) 297-3233
Phone(216) 382-8000
Fax(216) 297-3233
Organization SubpartNo
Authorized OfficialRichard TommPartner · (216) 382-8000
Enumeration DateOctober 22, 2007
Last NPPES UpdateJune 5, 2026
NPPES CertifiedJune 5, 2026
✔ NPI 1093904476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 52123
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
300 ALLEN BRADLEY DR STE 240, Mayfield Heights, OH 44124
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 36D1062305

Custom Care MD · Mayfield Heights, OH
Active · expires Dec 11, 2026
CLIA Number36D1062305
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorRichard Tomm
Laboratory Phone(216) 382-8000
Laboratory LocationCustom Care MD300 Allen Bradley Drive Suite 240, Mayfield Heights, OH 44124
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOHN WILLIAM HORINGER JR. M.D.
Internal Medicine
300 ALLEN BRADLEY DR STE 240
MAYFIELD HEIGHTS, OH 44124
Cuyahoga County (216) 382-8000
MRS. SUSAN M FLICK CNP
Nurse Practitioner (Adult Health)
300 ALLEN BRADLEY DR STE 240
MAYFIELD HEIGHTS, OH 44124
Cuyahoga County (216) 382-8000
DR. RICHARD TOMM M.D.
Internal Medicine
300 ALLEN BRADLEY DR STE 240
MAYFIELD HEIGHTS, OH 44124
Cuyahoga County (216) 382-8000

Frequently 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 Customcare MD LLC's NPI number?

The NPI number for Customcare MD LLC is 1093904476. It was assigned to this organization in the NPPES registry on October 22, 2007.

Where is Customcare MD LLC located?

Customcare MD LLC is located at 300 Allen Bradley Dr Ste 240, Mayfield Heights, OH 44124. The listed phone number is (216) 382-8000.

What is Customcare MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Customcare MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1062305) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Customcare MD LLC was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.