CLINICIANS IN INFECTIOUS DISEASES,INC – Infectious Disease Physician, NPI 1457554842

CLINICIANS IN INFECTIOUS DISEASES,INC is a healthcare provider. based in Canton, Ohio. specializing in Infectious Disease Physician. The organization holds a License No. 34071905 (OH). The NPI Number for CLINICIANS IN INFECTIOUS DISEASES,INC is 1457554842

Main info

Organization
Name
CLINICIANS IN INFECTIOUS DISEASES,INC
NPI
1457554842
Phone
(330) 454-7722
Address
128 WERTZ AVE NW
Authorized Official
JOAN ELLEN FLICKINGER AUTHORIZED OFFICIAL
Enumeration Date
6 June 2007
Last Update Date
13 December 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for CLINICIANS IN INFECTIOUS DISEASES,INC

  • 128, Wertz Avenue Northwest, Lincoln Heights, Canton, Stark County, Ohio, 44708, United States

    CANTON, OH 447084196

    Phone: (330) 454-7722

    Fax: (330) 454-7834

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2007-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-09-30 (617 days ago).

Enrollment records

1

Earliest due date

2024-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20071115000690OClinic/Group PracticeOH2024-09-30

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.

Verify on CMS Revalidation Lookup Tool

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 44708)

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Reviews

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Frequently asked questions

Is there an official ID for CLINICIANS IN INFECTIOUS DISEASES,INC in U.S. healthcare records?
The official identifier for CLINICIANS IN INFECTIOUS DISEASES,INC is NPI 1457554842.
Is CLINICIANS IN INFECTIOUS DISEASES,INC still an active registrant?
CLINICIANS IN INFECTIOUS DISEASES,INC carries an active NPI according to the public dataset.
What clinical focus is listed for CLINICIANS IN INFECTIOUS DISEASES,INC?
At a glance, CLINICIANS IN INFECTIOUS DISEASES,INC is tied to Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CLINICIANS IN INFECTIOUS DISEASES,INC?
Travel planning: use Canton, Ohio as the reference point for CLINICIANS IN INFECTIOUS DISEASES,INC, then confirm.
Can I trust this NPI listing for CLINICIANS IN INFECTIOUS DISEASES,INC?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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