ARCHWELL HEALTH PROFESSIONAL SERVICES OF OHIO, INC.
NPI 1366248965
Internal Medicine in Parma, OH

Active since February 24, 2025CLIA 36D2326101 · Waiver
5795 STATE RD, PARMA, OH 44134(888) 987-1151 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 11, 2025, Feb 24, 2025 (2 updates tracked since 2025).

About Archwell Health Professional Services Of Ohio, Inc. NPPES

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

ARCHWELL HEALTH PROFESSIONAL SERVICES OF OHIO, INC. (NPI 1366248965) is a healthcare organization registered as an internal medicine in Parma, Ohio and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through June 25, 2027 and lists Lisa Lucas, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1366248965
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameARCHWELL HEALTH PROFESSIONAL SERVICES OF OHIO, INC.
Location Address5795 STATE RDParma, OH 44134-2541
Mailing Address102 Woodmont Blvd Ste 600Nashville, TN 37205-5250 · (888) 987-1151
Organization SubpartNo
Authorized OfficialLisa LucasChief Administrative Officer · (615) 419-9047
Enumeration DateFebruary 24, 2025
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1366248965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedNurse PractitionerTaxonomy 363L00000X
5795 STATE RD, Parma, OH 44134

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Archwell Health Professional Services Of Ohio, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

31

Medicare enrollment records show 31 clinicians reassign Medicare billing to Archwell Health Professional Services Of Ohio, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner10
Family Practice9
Cardiovascular Disease (Cardiology)6
Internal Medicine6

Nearest to this location (20)

See all 31
Family Practice
NPI 1780634485
5795 STATE RD
Parma, OH 44134
(440) 875-9915
✔ PECOSSame address
Nurse Practitioner
NPI 1497271654
5795 STATE RD
Parma, OH 44134
(440) 875-9915
✔ PECOSSame address
Internal Medicine
NPI 1992781504
15149 SNOW RD
Brookpark, OH 44142
(216) 279-2536
✔ PECOS4.8 mi
Family Practice
NPI 1588640825
15149 SNOW RD
Brook Park, OH 44142
(216) 279-2536
✔ PECOS4.8 mi
Nurse Practitioner
NPI 1992427488
15149 SNOW RD
Brookpark, OH 44142
(216) 279-2536
✔ PECOS4.8 mi
Nurse Practitioner
NPI 1972877843
11702 LORAIN AVE
Cleveland, OH 44111
(216) 769-9067
✔ PECOS5.0 mi
Internal Medicine
NPI 1033858493
11702 LORAIN AVE
Cleveland, OH 44111
(216) 769-9067
✔ PECOS5.0 mi
Internal Medicine
NPI 1760892269
10905 KINSMAN RD
Cleveland, OH 44104
(216) 769-9130
✔ PECOS6.9 mi
Nurse Practitioner
NPI 1467919696
10905 KINSMAN RD
Cleveland, OH 44104
(216) 769-9130
✔ PECOS6.9 mi
Internal Medicine
NPI 1871709964
21800 LIBBY RD
Maple Heights, OH 44137
(216) 547-0001
✔ PECOS9.5 mi
Nurse Practitioner
NPI 1730148602
21800 LIBBY RD
Maple Heights, OH 44137
(216) 547-0001
✔ PECOS9.5 mi
Family Practice
NPI 1700382389
27175 CENTER RIDGE RD
Westlake, OH 44145
(440) 768-2622
✔ PECOS11 mi
Nurse Practitioner
NPI 1720067614
27175 CENTER RIDGE RD
Westlake, OH 44145
(440) 768-2622
✔ PECOS11 mi
Family Practice
NPI 1356394688
2590 NOBLE RD
Cleveland Heights, OH 44121
(216) 769-9911
✔ PECOS12 mi
Nurse Practitioner
NPI 1760765630
2590 NOBLE RD
Cleveland Heights, OH 44121
(216) 769-9911
✔ PECOS12 mi
Nurse Practitioner
NPI 1578229670
22465 SHORE CENTER DR
Euclid, OH 44123
(216) 769-9001
✔ PECOS17 mi
Family Practice
NPI 1497145098
22465 SHORE CENTER DR
Euclid, OH 44123
(216) 769-9001
✔ PECOS✔ Accepts Medicare17 mi
Family Practice
NPI 1952747396
2855 W MARKET ST STE 204
Fairlawn, OH 44333
(234) 281-4384
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1326241852
33693 VINE ST
Willowick, OH 44095
(440) 768-2794
✔ PECOS21 mi
Family Practice
NPI 1235387416
33693 VINE ST
Willowick, OH 44095
(440) 768-2794
✔ PECOS21 mi
See all 31 clinicians

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

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 36D2326101

Archwell Health Professional Services Of Ohio Inc Dba Archwell Health - Parma · Parma, OH
Active · expires Jun 25, 2027
CLIA Number36D2326101
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorDonald J. Goddard
Laboratory Phone(440) 875-9915
Laboratory LocationArchwell Health Professional Services Of Ohio Inc Dba Archwell Health - Parma5795 State Road, Parma, OH 44134
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Archwell Health Professional Services Of Ohio, Inc.'s NPI number?

The NPI number for Archwell Health Professional Services Of Ohio, Inc. is 1366248965. It was assigned to this organization in the NPPES registry on February 24, 2025.

Where is Archwell Health Professional Services Of Ohio, Inc. located?

Archwell Health Professional Services Of Ohio, Inc. is located at 5795 State Rd, Parma, OH 44134. The listed phone number is (888) 987-1151.

What is Archwell Health Professional Services Of Ohio, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Archwell Health Professional Services Of Ohio, Inc. enrolled in Medicare?

Yes. Archwell Health Professional Services Of Ohio, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Archwell Health Professional Services Of Ohio, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 4 Medicare specialties reassign their Medicare billing to Archwell Health Professional Services Of 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 Nurse Practitioner (10), Family Practice (9) and Cardiovascular Disease (Cardiology) (6). Of these, 2 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Archwell Health Professional Services Of Ohio, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2326101) is associated with this NPI, valid through June 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Archwell Health Professional Services Of Ohio, Inc. was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.