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DR. NICOLAS ADRIANTO SOPUTRO MD
NPI 1467243337
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since May 13, 2025
9500 EUCLID AVE # JJ24, CLEVELAND, OH 44195(216) 444-2200 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nicolas Adrianto Soputro Md NPPES

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

DR. NICOLAS ADRIANTO SOPUTRO MD (NPI 1467243337) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1467243337
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. NICOLAS ADRIANTO SOPUTROCredential: MD
Location Address9500 EUCLID AVE # JJ24Cleveland, OH 44195-0002
Mailing Address9500 Euclid Ave # Jj24Cleveland, OH 44195-0001 · (216) 444-2200
Phone(216) 444-2200
Sole ProprietorYes
Enumeration DateMay 13, 2025
NPPES CertifiedMay 13, 2025
✔ NPI 1467243337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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 # JJ24, Cleveland, OH 44195
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Other Providers at the Same Location NPPES 20

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

DR. BRANDY LEE SWEENEY DO
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
CHRISTOPHER JAMHOUR MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
DR. RILEY LYNN WILKINSON MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
DR. GUIDO ASCIONE MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
REBECCA LYNN PHILLIPS MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
MR. CARL BOULOS M.D.
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
ALISON JIN
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
TATINI MAL-SARKAR
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200

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 Nicolas Soputro's NPI number?

The NPI number for Nicolas Soputro is 1467243337. It was assigned to this individual provider in the NPPES registry on May 13, 2025.

Where is Nicolas Soputro located?

Nicolas Soputro practices at 9500 Euclid Ave # Jj24, Cleveland, OH 44195. The listed phone number is (216) 444-2200.

What is Nicolas Soputro's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicolas Soputro was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.