1. Home
  2. Directory
  3. Ohio
  4. Cleveland
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MAKSAT IDRIS MD
NPI 1710876453
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since June 30, 2025PECOS Enrolled
9500 EUCLID AVE, CLEVELAND, OH 44195(216) 444-2200 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maksat Idris Md NPPES

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

MAKSAT IDRIS MD (NPI 1710876453) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710876453
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMAKSAT IDRISCredential: MD
Location Address9500 EUCLID AVECleveland, OH 44195-0001
Mailing Address1010 Euclid Ave Apt 609vCleveland, OH 44115-1516 · (323) 356-2205
Phone(216) 444-2200
Sole ProprietorYes
Enumeration DateJune 30, 2025
NPPES CertifiedJune 29, 2025
✔ NPI 1710876453 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, Cleveland, OH 44195
Open in Google Maps ↗

Other Names 1

Former Name (1)Maksat Idris Uulu Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maksat 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.

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.

MS. MARY COLLEEN RATH R.D., L.D., CNSC
Dietitian, Registered
9500 EUCLID AVE, M17
CLEVELAND, OH 44195
Cuyahoga County (216) 444-6986
DR. CHRISTOPHER F TENGGARDJAJA M.D.
Urology (Urogynecology and Reconstructive Pelvic Surgery)
9500 EUCLID AVE, Q10-1
CLEVELAND, OH 44195
Cuyahoga County (216) 444-5600
DR. MASATO FUJIKI M.D., PH.D.
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (216) 444-8007
KRISTIN R JOHNSON CNP
Nurse Practitioner
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (800) 223-2273
MONICA LYNN SHEIN CRNA
Nurse Anesthetist, Certified Registered
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (800) 223-2273
MRS. TONYA RENEE GOINGS ACNP-BC
Nurse Practitioner (Acute Care)
9500 EUCLID AVE, SUITE RC25
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
MS. DANA ANNE RUBIS CNP
Nurse Practitioner (Critical Care Medicine)
9500 EUCLID AVE, G58
CLEVELAND, OH 44195
Cuyahoga County (216) 444-5086
DR. RACHAEL C SULLIVAN M.D.
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (440) 449-1101

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 Maksat Idris's NPI number?

The NPI number for Maksat Idris is 1710876453. It was assigned to this individual provider in the NPPES registry on June 30, 2025. The provider is also known as Maksat Idris Uulu MD.

Where is Maksat Idris located?

Maksat Idris practices at 9500 Euclid Ave, Cleveland, OH 44195. The listed phone number is (216) 444-2200.

What is Maksat Idris's specialty?

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

Is Maksat Idris enrolled in Medicare?

Yes. Maksat Idris is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maksat Idris was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.