ID CONSULTANTS OF NORTHEAST OHIO, INC
NPI 1255913117
Internal Medicine - Infectious Disease in Beachwood, OH
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 2 active CLIA laboratory certificates and lists Vimala Shakar, Admin, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Id Consultants Of Northeast Ohio, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Id Consultants Of Northeast Ohio, Inc, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (20)
Independence, OH 44131
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
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, OHCertificate of Waiver 36D2264917
Id Consultants, Inc · Boardman, OHFrequently 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.
Is Id Consultants Of Northeast Ohio, Inc enrolled in Medicare?
Yes. Id Consultants Of Northeast Ohio, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Id Consultants Of Northeast Ohio, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 2 Medicare specialties reassign their Medicare billing to Id Consultants Of Northeast Ohio, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Infectious Disease (14) and Nurse Practitioner (6). Of these, 6 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Id Consultants Of Northeast Ohio, Inc hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
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 CareSource and 1 other insurer 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Id Consultants Of Northeast Ohio, Inc · NPI 1255913117
Infectious Disease organization in Beachwood, Ohio. Organization record, active in the CMS NPPES registry since April 21, 2021.
## Identity
- **NPI:** 1255913117 (Entity type: Organization)
- **Enumerated:** April 21, 2021
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **Organization subpart:** No
- **Authorized official:** Vimala Shakar, ADMIN
## Practice location
- **Address:** 3609 PARK EAST DR STE 207, Beachwood, OH 44122-4309
- **Phone:** (216) 360-0456 · **Fax:** (216) 360-9449
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Infectious Disease (14), Nurse Practitioner (6); 6 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2021
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255913117) · Data from the CMS NPPES public registry.