Id Consults and Services, PA

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ID CONSULTS AND SERVICES, PA

Practice address

3142 Northside Dr
Suite 101
Key West, FL 33040-8012

Phone

(305) 615-3300

NPI assigned

Mar 11, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Darryl Wallace

Title

Manager

Phone

(305) 615-3300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Id Consults and Services PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Id Consults and Services, PA

  • Infectious Disease Physician
  • Key West, FL
  • NPI 1215353677
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Malibiano, Inc.

  • Internal Medicine Physician
  • Key West, FL
  • NPI 1407798259

  Member Of

  NPD member

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Id Consults and Services, PA

  • Infectious Disease Physician
  • Key West, FL
  • NPI 1215353677
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry Jay Jackson, MD

  • Infectious Disease Physician
  • Key West, FL
  • NPI 1881874584
  Medicare reassignment NPD

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1043551468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 NORTHSIDE DR STE 101",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330408012",
            "telephone_number": "305-615-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 NORTHSIDE DR",
            "address_2": "SUITE 101",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330408012",
            "telephone_number": "305-615-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ID CONSULTS AND SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-615-3300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rabecca Ashley Hoyt, A.P., M.T.
• John Hughes-Papsidero, D.O.
• Robert W Hutchison, DPM
• Erin Marie Huyler, MS, BA
• Brett Iannucci, PHARMD
• Id Consults and Services, PA
• Asseley Ineus
• Insite Strategist, LLC
• Internal Medicine & Kidney Associates PA
• Casey Marie Internicola, BCBA

• Multi-Specialty Clinic/Center in Key West, FL
• Providers in Key West, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.