ID Consultants, Inc – Infusion Therapy Clinic/Center, NPI 1124058920
Infusion Therapy Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ID Consultants, Inc
3609, Park East Drive, Beachwood, Cuyahoga County, Ohio, 44122, United States
SUITE 207
BEACHWOOD, OH 441224331
Phone: (216) 360-0456
Fax: (216) 360-9449
Type: Mailing
18100 Jefferson Park Rd Ste 106
Middleburg Heights, OH 441308458
Phone: (216) 628-7050
Type: Location
9381 Mentor Ave
Mentor, OH 440606413
Phone: (440) 890-4736
Type: Location
6640 Poe Ave Ste 110
Dayton, OH 454142678
Phone: (937) 759-9906
Type: Location
2211 Crocker Rd Ste 170
Westlake, OH 441457603
Phone: (440) 588-2914
Type: Location
6220 Wilmington Pike Ste 6220B
Sugarcreek Township, OH 454597031
Phone: (937) 741-4658
Type: Location
155 Lincoln Way W Ste A109
Massillon, OH 446476575
Phone: (216) 488-1060
Type: Location
2000 Regency Ct Ste 100A
Toledo, OH 436233075
Phone: (833) 394-0600
Type: Location
1111 Boardman Canfield Rd
Boardman, OH 445124062
Phone: (234) 287-2074
Type: Location
150 Springside Dr Ste 235B
Fairlawn, OH 443334522
Phone: (216) 360-9480
Type: Location
1726 COLE BLVD STE 250
LAKEWOOD, CO 804013262
Phone: (855) 478-1528
Type: Mailing
3401 ENTERPRISE PKWY STE 110
BEACHWOOD, OH 441227340
Phone: (216) 448-1060
Fax: (216) 450-1031
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-07-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-09-30 (252 days ago).
Enrollment records
1
Earliest due date
2025-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040711000002 | O | Clinic/Group Practice | OH | 2025-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44122)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.