Isra Idris, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

35.155752 Issued in OH

Practice address

1 Perkins Square, Akron, Ohio 44308
Akron, OH 44308

Phone

(571) 484-2860

NPI assigned

Dec 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124730874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 WOODWARD AVE APT 306",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011978",
            "telephone_number": "571-484-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQUARE, AKRON, OHIO 44308",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44308",
            "telephone_number": "571-484-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDRIS",
        "first_name": "ISRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "OH",
            "license": "35.155752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356966691",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEARNER PERMIT",
            "identifier": "691977830",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Icare Home Care
• Renee Elzabeth Ickes
• Daniel Elloitt Id-Deen Jr.
• Yolanda Diane Id-Deen
• Monique Idley
• Igyc LLC
• Chizite Iheonunekwu
• Cameron A Iler, PHARMD
• Mark A Iler, MD
• Meghan A Iler, LMT

• Pediatric Cardiology Physician in Akron, OH
• Providers in Akron, OH by specialty
• Pediatric Cardiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.