ID CONSULTANTS OF NORTHEAST OHIO, INC
NPI 1255913117
Internal Medicine - Infectious Disease in Beachwood, OH

Active since April 21, 2021CLIA 36D2264906 · Waiver
3609 PARK EAST DR STE 207, BEACHWOOD, OH 44122(216) 360-0456(216) 360-9449 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Id Consultants Of Northeast Ohio, Inc NPPES

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

ID CONSULTANTS OF NORTHEAST OHIO, INC (NPI 1255913117) is a healthcare organization registered as an infectious disease in Beachwood, Ohio and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through July 19, 2028 and lists Vimala Shakar, Admin, as its authorized official.

NPPES Registry Identity

NPI1255913117
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameID CONSULTANTS OF NORTHEAST OHIO, INC
Location Address3609 PARK EAST DR STE 207Beachwood, OH 44122-4309
Mailing Address3609 Park East Dr Ste 207Beachwood, OH 44122-4309 · (216) 360-9480 · Fax (216) 360-9449
Fax(216) 360-9449
Organization SubpartNo
Authorized OfficialVimala ShakarAdmin · (216) 702-6600
Enumeration DateApril 21, 2021
NPPES CertifiedApril 21, 2021
NPI 1255913117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

3609 PARK EAST DR STE 207, Beachwood, OH 44122

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

Accepted Insurance

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 36D2264906

Id Consultants, Inc · Beachwood, OH
Active · expires Jul 19, 2028
CLIA Number36D2264906
Laboratory TypeInfusion Center
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorLeeann Purtthipatkool
Laboratory Phone(216) 360-0456
Laboratory LocationId Consultants, Inc3401 Enterprise Pkwy, Suite 110, Beachwood, OH 44122
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Family)
3609 PARK EAST DR STE 207
BEACHWOOD, OH 44122
Internal Medicine (Infectious Disease)
3609 PARK EAST DR STE 207
CLEVELAND, OH 44122
Student in an Organized Health Care Education/Training Program
3609 PARK EAST DR STE 207
BEACHWOOD, OH 44122
Physician Assistant
3609 PARK EAST DR STE 207
CLEVELAND, OH 44122
Internal Medicine (Infectious Disease)
3609 PARK EAST DR STE 207
BEACHWOOD, OH 44122
Nurse Practitioner (Family)
3609 PARK EAST DR STE 207
BEACHWOOD, OH 44122
Nurse Practitioner
3609 PARK EAST DR STE 207
BEACHWOOD, OH 44122
Nurse Practitioner (Acute Care)
3609 PARK EAST DR STE 207
BEACHWOOD, OH 44122

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 Id Consultants Of Northeast Ohio, Inc's NPI number?

The NPI number for Id Consultants Of Northeast Ohio, Inc is 1255913117. It was assigned to this organization in the NPPES registry on April 21, 2021.

Where is Id Consultants Of Northeast Ohio, Inc located?

Id Consultants Of Northeast Ohio, Inc is located at 3609 Park East Dr Ste 207, Beachwood, OH 44122. The listed phone number is (216) 360-0456.

What is Id Consultants Of Northeast Ohio, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Does Id Consultants Of Northeast Ohio, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2264906) is associated with this NPI, valid through July 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Id Consultants Of Northeast Ohio, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Molina Healthcare list Id Consultants Of Northeast Ohio, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Id Consultants Of Northeast Ohio, Inc was last updated on April 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.