Active NPI
Ian Kletter, MD
- General Practice Physician
- Westlake, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 35077854K
- Practice address
- 29000 Center Ridge Rd
St John West Shore Hospital
Westlake, OH 44145-5293 - Phone
- (440) 835-8000
- NPI assigned
- Sep 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 35.077854 | OH | |
| General Practice Physician | 208D00000X | 35077854K | OH | Primary |
Addresses
Primary practice location
29000 Center Ridge Rd
St John West Shore Hospital
Westlake, OH 44145-5293
Mailing address
30680 Bainbridge Rd
Northeast Ohio Group Practice
Cleveland, OH 44139-2282
Phone (440) 542-5023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2268559 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041110000969 | OH | Practitioner - General Surgery | 5395708309 |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Rutgers New Jersey Medical School, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Zotec Way
Carmel, IN 46032-0052
13370 Prospect Rd
2C
Strongsville, OH 44149-3854
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
6801 Brecksville Rd
Independence, OH 44131-5062
6801 Brecksville Rd
Mail Code RK2 7
Independence, OH 44131-5032
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35077854K | OH | MD | General Practice Physician |
| 35.077854 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North East Ohio Group Practice LLC | Current | Accepting new patients | |
| Community Hospitalist, LLC | Hospitalist | Current | Accepting new patients |
Locations
11900 Fairhill Rd
Cleveland, OH 44120
Phone (216) 231-2344
11900 Fairhill Rd
Fl 1
Cleveland, OH 44120
Phone (216) 353-2501
2351 E 22nd St
Cleveland, OH 44115
Phone (216) 363-2536
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520
6990 Engle Rd
Middleburg Heights, OH 44130
Phone (440) 202-4200
7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000
30680 Bainbridge Rd
Solon, OH 44139
Phone (330) 414-1844
4200 Interchange Corporate Center Rd
Warrensville Heights, OH 44128
Phone (216) 292-5750
29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046
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.
-
- Hospitalist Physician
- Lorain, OH
- NPI 1538236872
-
- Internal Medicine Physician
- Middleburg Heights, OH
- NPI 1063575462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1760476709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30680 BAINBRIDGE RD",
"address_2": "NORTHEAST OHIO GROUP PRACTICE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441392282",
"telephone_number": "440-542-5023",
"fax_number": "440-542-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29000 CENTER RIDGE RD",
"address_2": "ST JOHN WEST SHORE HOSPITAL",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441455293",
"telephone_number": "440-835-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLETTER",
"first_name": "IAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35.077854",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "35077854K",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2268559",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.
- 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.