Organization Active NPI

Acute Care Specialists LLC

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1184043002
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35071679 Issued in OH
Legal business name
ACUTE CARE SPECIALISTS LLC
Practice address
6090 Royalton Rd
Suite #335
Cleveland, OH 44133-5104
Phone
(330) 237-8000
Fax
(877) 921-2530
NPI assigned
Apr 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Ms. Kristen B. Huber
Title
President
Phone
(330) 237-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 35071679 OH Primary

Addresses

Primary practice location

6090 Royalton Rd
Suite #335
Cleveland, OH 44133-5104

Mailing address

6090 Royalton Rd
Suite #335
Cleveland, OH 44133-5104
Phone (330) 237-8000

Other identifiers 1

IdentifierTypeStateIssuer
0101040MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140722001802 OH Part B Supplier - Clinic/Group Practice 1153547435 Receives reassigned benefits from 1 practitioner
Practice locations: Akron, OH; Cleveland, OH; Kent, OH; Stow, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1184043002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6090 ROYALTON RD",
            "address_2": "SUITE #335",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441335104",
            "telephone_number": "330-237-8000",
            "fax_number": "877-921-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6090 ROYALTON RD",
            "address_2": "SUITE #335",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441335104",
            "telephone_number": "330-237-8000",
            "fax_number": "877-921-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUTE CARE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-237-8000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35071679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101040",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.