Individual provider Active NPI

Helen Kollus, MD, MA

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1609805258
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35083112 Issued in OH
Practice address
3838 W 150TH St
Metrohealth West Park Medical BLDG
Cleveland, OH 44111-5805
Phone
(216) 957-5000
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35083112 OH Primary

Addresses

Primary practice location

3838 W 150TH St
Metrohealth West Park Medical BLDG
Cleveland, OH 44111-5805

Mailing address

3838 W 150TH St
Metrohealth West Park Medical BLDG
Cleveland, OH 44111-5805
Phone (216) 957-5000

Other identifiers 1

IdentifierTypeStateIssuer
2425414MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35083112OHMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609805258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 W 150TH ST",
            "address_2": "METROHEALTH WEST PARK MEDICAL BLDG",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115805",
            "telephone_number": "216-957-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 W 150TH ST",
            "address_2": "METROHEALTH WEST PARK MEDICAL BLDG",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115805",
            "telephone_number": "216-957-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLUS",
        "first_name": "HELEN",
        "credential": "MD, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35083112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2425414",
            "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.