MICHELLE K IDADA MPAS, PA-C
NPI 1891195939
Physician Assistant - Surgical in Cleveland, OH

Q: What is Michelle Idada's NPI number?

The NPI number for Michelle Idada is 1891195939. It was assigned to this individual provider in the NPPES registry on August 26, 2014. The provider is also known as Michelle K Clough Mpas, Pa-C.

Q: What is Michelle Idada's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Idada was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 26, 2014PECOS Enrolled

9500 EUCLID AVE, MAIL CODE A40, CLEVELAND, OH 44195(216) 692-7239(216) 692-7802 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 22, 2019, Nov 17, 2016, Sep 22, 2016 (3 updates tracked since 2016).

On this page

About Michelle K Idada Mpas, Pa-c NPPES

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

MICHELLE K IDADA MPAS, PA-C (NPI 1891195939) is an individual surgical provider in Cleveland, Ohio, licensed in Ohio (50.004077RX) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891195939

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMICHELLE K IDADACredential: MPAS, PA-C

Location Address9500 EUCLID AVE, MAIL CODE A40Cleveland, OH 44195-0001

Mailing Address9500 Euclid Ave, Mail Code A40Cleveland, OH 44195-0001 · (216) 445-7408 · Fax (216) 445-6255

Phone(216) 692-7239

Fax(216) 692-7802

Sole ProprietorNo

Enumeration DateAugust 26, 2014

Last NPPES UpdateMay 22, 20193 updates tracked since enumeration

✔ NPI 1891195939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in OH · 50.004077RX

9500 EUCLID AVE, Cleveland, OH 44195

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Other Names 1

Former Name (1)Michelle K Clough Mpas, Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle K Idada Mpas, Pa-c 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 Michelle Idada's NPI number?

The NPI number for Michelle Idada is 1891195939. It was assigned to this individual provider in the NPPES registry on August 26, 2014. The provider is also known as Michelle K Clough Mpas, Pa-C.

Where is Michelle Idada located?

Michelle Idada practices at 9500 Euclid Ave Mail Code A40, Cleveland, OH 44195. The listed phone number is (216) 692-7239.

What is Michelle Idada's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Michelle Idada enrolled in Medicare?

Yes. Michelle Idada is registered in the Medicare PECOS enrollment system.

What insurance does Michelle Idada accept?

Health plans from MedMutual list Michelle Idada 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 Michelle Idada was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.