Individual provider Active NPI

Ian Kletter, MD

  • General Practice Physician
  • Westlake, OH
National Provider Identifier
1760476709
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35077854K Issued in OH
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

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2268559MedicaidOH

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
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

LicenseStateTypeSpecialty
35077854KOHMDGeneral Practice Physician
35.077854OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North East Ohio Group Practice LLC CurrentSince Jun 1, 2001 Accepting new patients
Community Hospitalist, LLC Hospitalist CurrentSince Sep 1, 2025 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.

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

Verify at the official NPI Registry.