NPIMap

Organization Active NPI

Id Consultants Inc

  • Infusion Therapy Clinic/Center
  • Beachwood, OH
National Provider Identifier
1124058920
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
ID CONSULTANTS INC
Practice address
3401 Enterprise Pkwy Ste 110
Beachwood, OH 44122-7340
Phone
(216) 448-1060
Fax
(216) 450-1031
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Sue Ellen Rottura
Title
Chief Operating Officer
Phone
(561) 323-8987

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

3401 Enterprise Pkwy Ste 110
Beachwood, OH 44122-7340

Mailing address

1726 Cole Blvd Ste 250
Lakewood, CO 80401-3262
Phone (855) 478-1528

Other practice location 1

2000 Regency Ct Ste 100A
Toledo, OH 43623-3075
Phone (833) 394-0600

Other practice location 2

1111 Boardman Canfield Rd
Boardman, OH 44512-4062
Phone (234) 287-2074

Other practice location 3

6640 Poe Ave Ste 110
Dayton, OH 45414-2678
Phone (937) 759-9906

Other practice location 4

150 Springside Dr Ste 235B
Fairlawn, OH 44333-4522
Phone (216) 360-9480

Other practice location 5

2211 Crocker Rd Ste 170
Westlake, OH 44145-7603
Phone (440) 588-2914

Other practice location 6

155 Lincoln Way W Ste A109
Massillon, OH 44647-6575
Phone (216) 488-1060

Other practice location 7

6220 Wilmington Pike Ste 6220B
Sugarcreek Township, OH 45459-7031
Phone (937) 741-4658

Other practice location 8

9381 Mentor Ave
Mentor, OH 44060-6413
Phone (440) 890-4736

Other practice location 9

18100 Jefferson Park Rd Ste 106
Middleburg Heights, OH 44130-8458
Phone (216) 628-7050

Other identifiers 1

IdentifierTypeStateIssuer
2485074MedicaidOH

Other names 1

  • ID Consultants, Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040711000002 OH Part B Supplier - Clinic/Group Practice 7012995574 Receives reassigned benefits from 13 practitioners
Practice locations: Westlake, OH; Toledo, OH; Sugarcreek Township, OH; Middleburg Heights, OH; Mentor, OH; Fairlawn, OH; Dayton, OH; Boardman, OH…

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2264906Id Consultants, Inc3401 Enterprise Pkwy, Suite 110, Beachwood, OH 44122Certificate of waiverJul 19, 2028
36D2264917Id Consultants, Inc - Youngstown1111 Boardman Canfield Rd, Boardman, OH 44512Certificate of waiverJul 19, 2028
36D2264919Id Consultants, Inc - Fairlawn150 Springside Drive, Suite B235, Fairlawn, OH 44333Certificate of waiverJul 19, 2028
36D2264920Id Consultants, Inc18100 Jefferson Park Rd, Middleburg Heights, OH 44130Certificate of waiverJul 19, 2028
36D2264921Id Consultants, Inc9381 Mentor Ave, Mentor, OH 44060Certificate of waiverJul 19, 2028
36D2264922Id Consultants, Inc - Westlake2211 Crocker Road Suite 170, Westlake, OH 44145Certificate of waiverJul 19, 2028
36D2278622Id Consultants, Inc2000 Regency CT, Toledo, OH 43623Certificate of waiverMar 20, 2027
36D2278626Id Consultants, Inc - Massillon155 Lincoln Way W, Ste a-109, Massillon, OH 44647Certificate of waiverMar 20, 2027
36D2280571Id Consultants, Inc - Sugarcreek6220 Wilmington Pike, Suite 6220B, Dayton, OH 45459Certificate of waiverApr 20, 2027
36D2286599Id Consultants, Inc - Huber Heights6640 Poe Avenue, Suite 110, Dayton, OH 45414Certificate of waiverJul 31, 2027

National Provider Directory

National Provider Directory

Locations

1726 Cole Blvd
Ste 250
Lakewood, CO 80401
Phone (303) 384-4064

6640 Poe Ave
Ste 110
Dayton, OH 45414
Phone (937) 759-9906

155 Lincoln Way W
Ste A109
Massillon, OH 44647
Phone (216) 488-1060

6770 Mayfield Rd
#443
Mayfield Hts, OH 44124
Phone (440) 460-2842

9381 Mentor Ave
Mentor, OH 44060
Phone (440) 890-4736

18100 Jefferson Park Rd
Ste 106
Middleburg Heights, OH 44130
Phone (216) 628-7050

18660 Bagley Rd
#401
Middleburg Heights, OH 44130
Phone (440) 243-6556

6963A Promway Ave NW
North Canton, OH 44720

50 Normandy Dr
Ste 1
Painesville, OH 44077

6681 Ridge Rd
Ste 203
Parma, OH 44129
Phone (216) 884-2909

6115 Powers Blvd
Ste 205
Parma, OH 44129
Phone (216) 896-0755

6220 Wilmington Pike
Ste 6220B
Sugarcreek Township, OH 45459
Phone (937) 741-4658

2000 Regency Ct
Ste 100A
Toledo, OH 43623
Phone (833) 394-0600

2211 Crocker Rd
Ste 170
Westlake, OH 44145
Phone (216) 360-9480

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1124058920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 COLE BLVD STE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013262",
            "telephone_number": "855-478-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 ENTERPRISE PKWY STE 110",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227340",
            "telephone_number": "216-448-1060",
            "fax_number": "216-450-1031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Regency Ct Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436233075",
            "country_code": "US",
            "telephone_number": "833-394-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Boardman Canfield Rd",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445124062",
            "country_code": "US",
            "telephone_number": "234-287-2074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6640 Poe Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454142678",
            "country_code": "US",
            "telephone_number": "937-759-9906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Springside Dr Ste 235B",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "OH",
            "postal_code": "443334522",
            "country_code": "US",
            "telephone_number": "216-360-9480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 Crocker Rd Ste 170",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441457603",
            "country_code": "US",
            "telephone_number": "440-588-2914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Lincoln Way W Ste A109",
            "address_purpose": "LOCATION",
            "city": "Massillon",
            "state": "OH",
            "postal_code": "446476575",
            "country_code": "US",
            "telephone_number": "216-488-1060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6220 Wilmington Pike Ste 6220B",
            "address_purpose": "LOCATION",
            "city": "Sugarcreek Township",
            "state": "OH",
            "postal_code": "454597031",
            "country_code": "US",
            "telephone_number": "937-741-4658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9381 Mentor Ave",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440606413",
            "country_code": "US",
            "telephone_number": "440-890-4736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18100 Jefferson Park Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Middleburg Heights",
            "state": "OH",
            "postal_code": "441308458",
            "country_code": "US",
            "telephone_number": "216-628-7050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ID CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "ROTTURA",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "561-323-8987"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2485074",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ID Consultants, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ID Consultants, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.