Individual provider Active NPI

Roland Adwini Poku

  • Primary Care Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1114895885
Registry record updated Oct 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
2025041677 Issued in OH
Practice address
3324 W 144TH St
Cleveland, OH 44111-1336
Phone
(313) 283-7885
NPI assigned
Oct 25, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 2025041677 OH Primary

Addresses

Primary practice location

3324 W 144TH St
Cleveland, OH 44111-1336

Mailing address

3324 W 144TH St
Cleveland, OH 44111-1336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260223001126 OH Practitioner - Nurse Practitioner 5294216834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care AllianceGroup PAC ID 8527034818, 12 clinicians

Practice addresses (Care Compare)

1530 Saint Clair Ave NE
Cleveland, OH 44114-2004
Phone 2165359100282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2025041677OHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Alliance CurrentSince Jan 13, 2026 Accepting new patients
Care Alliance CurrentSince Jan 13, 2026 Accepting new patients

Locations

1530 Saint Clair Ave NE
Cleveland, OH 44114
Phone (216) 535-9100

2916 Central Ave
Cleveland, OH 44115
Phone (216) 535-9100

6001 Woodland Ave
Cleveland, OH 44104
Phone (216) 431-2018

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761350400000",
    "number": "1114895885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 W 144TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441111336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 W 144TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441111336",
            "telephone_number": "313-283-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKU",
        "first_name": "ROLAND",
        "middle_name": "ADWINI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-25",
        "last_updated": "2025-10-25",
        "certification_date": "2025-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "2025041677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.