LARISSA MARIA ISAAC MAXIMO MD
NPI 1124644414
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since June 22, 2020PECOS Enrolled
9500 EUCLID AVE # NA-23, CLEVELAND, OH 44195(216) 444-2200 Get Directions Write a Review

NPPES record last updated: June 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Larissa Maria Isaac Maximo Md NPPES

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

LARISSA MARIA ISAAC MAXIMO MD (NPI 1124644414) is an individual student in an organized health care education/training program provider in Cleveland, Ohio, licensed in Ohio (57.249793) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.Information from the official NPPES registry record, last updated June 22, 2020.

NPPES Registry Identity

NPI1124644414
Entity TypeIndividualFemale
Provider Legal NameLARISSA MARIA ISAAC MAXIMOCredential: MD
Location Address9500 EUCLID AVE # NA-23Cleveland, OH 44195-0001
Mailing Address9500 Euclid Ave # Na-23Cleveland, OH 44195-0002 · (216) 444-2200
Sole ProprietorYes
Enumeration DateJune 22, 2020
NPPES CertifiedJune 22, 2020
NPI 1124644414 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Student in an Organized Health Care Education/Training Program

Taxonomy 390200000X · Student, Health Care

Licensed in OH · 57.249793

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

9500 EUCLID AVE # NA-23, Cleveland, OH 44195

Medicare Participation & PECOS Enrollment Status

Larissa Maria Isaac Maximo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # NA-23
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # NA-23
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # NA-23
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # NA-23
CLEVELAND, OH 44195
Surgery
9500 EUCLID AVE # NA-23
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Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # NA-23
CLEVELAND, OH 44195
Internal Medicine (Cardiovascular Disease)
9500 EUCLID AVE # NA-23
CLEVELAND, OH 44195
Radiology (Diagnostic Radiology)
9500 EUCLID AVE # NA-23
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # NA-23
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # NA-23
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # NA-23
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # NA-23
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # NA-23
CLEVELAND, OH 44195
Urology
9500 EUCLID AVE # NA-23
CLEVELAND, OH 44195
Neurological Surgery
9500 EUCLID AVE # NA-23
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # NA-23
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # NA-23
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # NA-23
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # NA-23
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # NA-23
CLEVELAND, OH 44195

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124644414, enumerated as an "individual" on June 22, 2020.

The provider is located at 9500 EUCLID AVE # NA-23 CLEVELAND, OH 44195 and the phone number is (216) 444-2200.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.