Individual provider Active NPI

Richard Chmielewski, M.D.

  • Infectious Disease Physician
  • Cleveland, OH
National Provider Identifier
1174557615
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
35044871 Issued in OH
Practice address
2322 E 22ND St
308
Cleveland, OH 44115-3176
Phone
(216) 363-2556
Fax
(216) 363-2768
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 35044871 OH Primary

Addresses

Primary practice location

2322 E 22ND St
308
Cleveland, OH 44115-3176

Mailing address

3609 Park East Dr
207
Beachwood, OH 44122-4331
Phone (216) 360-0456

Other identifiers 2

IdentifierTypeStateIssuer
0493265MedicaidOH
440001650OtherOHRR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address richardc@idconsultants.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040717000406 OH Practitioner - Infectious Disease 7012996598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Perelman School of Med at the University of Pennsylvania, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Id Consultants of Northeast Ohio IncGroup PAC ID 1355747882, 17 clinicians

Practice addresses (Care Compare)

2475 E 22ND St
Suite 110
Cleveland, OH 44115-3221
Phone (216) 363-2556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35044871OHMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Id Consultants of Northeast Ohio, Inc Infectious Disease CurrentSince Aug 1, 2021 Accepting new patients

Locations

3609 Park East Dr
Ste 207
Cleveland, OH 44122
Phone (216) 360-9480

2475 E 22nd St
Ste 110
Cleveland, OH 44115
Phone (216) 363-2556

50 Normandy Dr
Ste 1
Painesville, OH 44077

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

Interoperability endpoints

  • Direct secure messaging: rchmielewski92155@direct.ccf.org

Organizations & group practices 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1174557615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 PARK EAST DR",
            "address_2": "207",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224331",
            "telephone_number": "216-360-0456",
            "fax_number": "216-360-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 E 22ND ST",
            "address_2": "308",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153176",
            "telephone_number": "216-363-2556",
            "fax_number": "216-363-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHMIELEWSKI",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35044871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0493265",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "440001650",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "richardc@idconsultants.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2475 E 22nd St Ste 110",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441153221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.