NI KETUT KUMALA DEWI HARIADI
NPI 1114404159
Nurse Practitioner in Independence, OH
About Ni Ketut Kumala Dewi Hariadi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NI KETUT KUMALA DEWI HARIADI (NPI 1114404159) is an individual nurse practitioner in Independence, Ohio, licensed in Ohio (AG07180050) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Akron General Medical Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ni Ketut Kumala Dewi Hariadi is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Akron General Medical Center
Acute Care Hospitals · Akron, OHMarymount Hospital
Acute Care Hospitals · Garfield Heights, OHCleveland Clinic
Acute Care Hospitals · Cleveland, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDEPENDENCE, OH 44131
INDEPENDENCE, OH 44131
INDEPENDENCE, OH 44131
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 Ni Ketut Hariadi's NPI number?
The NPI number for Ni Ketut Hariadi is 1114404159. It was assigned to this individual provider in the NPPES registry on July 23, 2018.
Where is Ni Ketut Hariadi located?
Ni Ketut Hariadi practices at 5001 Rockside Rd, Independence, OH 44131. The listed phone number is (216) 986-4000.
What is Ni Ketut Hariadi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Ni Ketut Hariadi enrolled in Medicare?
Yes. Ni Ketut Hariadi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Ni Ketut Hariadi affiliated with any hospitals?
According to CMS data, Ni Ketut Hariadi is affiliated with Akron General Medical Center, Marymount Hospital and Cleveland Clinic.
When was this NPI record last updated?
The NPPES record for Ni Ketut Hariadi was last updated on July 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Ni Ketut Kumala Dewi Hariadi · NPI 1114404159
Nurse Practitioner physician in Independence, Ohio. Individual provider, active in the CMS NPPES registry since July 23, 2018.
## Identity
- **NPI:** 1114404159 (Entity type: Individual)
- **Enumerated:** July 23, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** AG07180050 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 5001 ROCKSIDE RD, Independence, OH 44131-2172
- **Phone:** (216) 986-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 23, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1114404159) · Data from the CMS NPPES public registry.