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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ISRA IDRIS MD
NPI 1124730874
Pediatrics - Pediatric Cardiology in Akron, OH

Active since December 14, 2022PECOS Enrolled
1 PERKINS SQUARE, AKRON, OHIO 44308, AKRON, OH 44308(571) 484-2860 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 13, 2026, Jul 19, 2023, Dec 14, 2022 (3 updates tracked since 2022).

About Isra Idris Md NPPES

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

ISRA IDRIS MD (NPI 1124730874) is an individual pediatric cardiology provider in Akron, Ohio, licensed in Ohio (35.155752) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124730874
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameISRA IDRISCredential: MD
Location Address1 PERKINS SQUARE, AKRON, OHIO 44308Akron, OH 44308
Mailing Address3800 Woodward Ave Apt 306Detroit, MI 48201-1978 · (571) 484-2860
Phone(571) 484-2860
Sole ProprietorYes
Enumeration DateDecember 14, 2022
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1124730874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in OH · 35.155752
Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

1 PERKINS SQUARE, AKRON, OHIO 44308, Akron, OH 44308
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Other Identifiers 2

Other1356966691NY · Npi
Other691977830NY · Learner Permit

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Isra Idris Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

What is Isra Idris's NPI number?

The NPI number assigned to this healthcare provider is 1124730874, enumerated as an "individual" on December 14, 2022.

Where is the provider located?

The provider is located at 1 PERKINS SQUARE, AKRON, OHIO 44308 AKRON, OH 44308 and the phone number is (571) 484-2860.

What is the provider's specialty?

Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.

What insurance does Isra Idris accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.