Organization Active NPI

Clecare Urgent Care LLC

  • Family Medicine Physician
  • North Olmsted, OH
National Provider Identifier
1346967361
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLECARE URGENT CARE LLC
Practice address
26622 Lorain Road
North Olmsted, OH 44070-3204
Phone
(440) 991-1212
Fax
(404) 305-0010
NPI assigned
Oct 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Dr. Ibrahim Hasan, MDNPI 1255838264
Title
Owner
Phone
(440) 789-4694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

26622 Lorain Road
North Olmsted, OH 44070-3204

Mailing address

26622 Lorain Road
North Olmsted, OH 44070-3204
Phone (440) 991-1212

Other practice location 1

4597 Great Northern Blvd # 155
North Olmsted, OH 44070-3424
Phone (440) 789-4694

Other names 1

  • Clecare Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@clecareurgentcare.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230613000762 OH Part B Supplier - Clinic/Group Practice 0749647360 Receives reassigned benefits from 6 practitioners
Practice locations: North Olmsted, 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
36D2310827Clecare Urgent Care26622 Lorain Road, North Olmsted, OH 44070Certificate of waiverSep 10, 2026

National Provider Directory

National Provider Directory

Locations

26628 Lorain Rd
North Olmsted, OH 44070

4597 Great Northern Blvd
North Olmsted, OH 44070
Phone (440) 789-4694

Practitioners & affiliated clinicians

Practitioners 7

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": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1346967361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26622 LORAIN ROAD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703204",
            "telephone_number": "440-991-1212",
            "fax_number": "404-305-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26622 LORAIN ROAD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703204",
            "telephone_number": "440-991-1212",
            "fax_number": "404-305-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4597 Great Northern Blvd # 155",
            "address_purpose": "LOCATION",
            "city": "North Olmsted",
            "state": "OH",
            "postal_code": "440703424",
            "country_code": "US",
            "telephone_number": "440-789-4694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLECARE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-789-4694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@clecareurgentcare.com",
            "affiliation": "N",
            "address_1": "26628 Lorain Rd",
            "city": "North Olmsted",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440703205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Clecare Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.