Cleveland Kidney Disease Associates

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

CLEVELAND KIDNEY DISEASE ASSOCIATES

Practice address

3619 Park East Dr Ste 110
Beachwood, OH 44122-4312

Phone

(216) 244-2578

NPI assigned

Nov 18, 2008

Last updated

Jan 29, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew Lazar, MDNPI 1164424081

Title

Owner

Phone

(216) 244-2578

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew E Lazar, MD

  • Nephrology Physician
  • Beachwood, OH
  • NPI 1164424081
  Medicare reassignment Care Compare group NPD Authorized official
• Melkon O. Hajinazarian, M.D.

  • Nephrology Physician
  • Beachwood, OH
  • NPI 1134178726
  Medicare reassignment Care Compare group
• Jessica Nicole Poe, NP-C

  • Primary Care Nurse Practitioner
  • Monroe, OH
  • NPI 1851769764
  Medicare reassignment NPD
• Jessica Fern, CNP

  • Acute Care Nurse Practitioner
  • Portland, OR
  • NPI 1700325313

  OH

  Medicare reassignment NPD
• Jasmine Johnson, CNP

  • Adult Health Nurse Practitioner
  • Mentor, OH
  • NPI 1154769925
  NPD
• Sandra L Stratman, APN

  • Adult Health Nurse Practitioner
  • Beachwood, OH
  • NPI 1376887463
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1023263118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 PARK EAST DR STE 110",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224312",
            "telephone_number": "216-244-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 PARK EAST DR STE 110",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224312",
            "telephone_number": "216-244-2578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27155 Chardon Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond Hts",
            "state": "OH",
            "postal_code": "441431183",
            "country_code": "US",
            "telephone_number": "440-569-1153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEVELAND KIDNEY DISEASE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-244-2578",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cleveland Pain Management and Acupuncture LLC
• Cleveland Shoulder Institute, LLC
• Cleveland Skin Pathology Laboratory, Inc
• Cleveland Skin Pathology Laboratory, Inc

• Nephrology Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Nephrology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.