NPIMap

Individual provider Active NPI

Itri A Eren, MD

  • Internal Medicine Physician
  • Lorain, OH
National Provider Identifier
1861465809
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35050060 Issued in OH
Practice address
1130 Tower Blvd
Suite B
Lorain, OH 44052-5235
Phone
(440) 989-4874
Fax
(440) 989-4878
NPI assigned
Feb 9, 2006
Last updated
Jun 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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 35050060 OH Primary

Addresses

Primary practice location

1130 Tower Blvd
Suite B
Lorain, OH 44052-5235

Mailing address

1130 Tower Blvd
Suite B
Lorain, OH 44052-5235
Phone (440) 989-4874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090416000431 OH Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3779471792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University of Cincinnati College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35050060OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Dec 9, 2008 Accepting new patients
The Laurels of New London, LLC Past Accepting new patients
Carecore at Norwalk LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Kingston of Vermilion, LLC Past Accepting new patients
Milan Skilled Nursing, LLC Past Accepting new patients
Wessell Generations, Inc. Past Accepting new patients
Elms Retirement Village, Inc. Past Accepting new patients
Trilogy Healthcare of Telegraph, LLC Past Accepting new patients
Gaymont Leasing, LLC Past Accepting new patients
Lorain County Board of DD Past Accepting new patients
Kingston of Ashland, LLC Past Accepting new patients
Trilogy Healthcare of Ashland, LLC Past Accepting new patients
Twilight Healthcare LLC Past Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

1130 Tower Blvd
Ste B
Lorain, OH 44052
Phone (440) 989-3736

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Keystone Pointe Health & RehabilitationLagrange, OH, CCN 366372 Skilled nursing facility Adp of the SNF Jun 1, 2018
Huntington National BankWellington, OH, CCN 366118 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 31, 2099
Jan 28, 2006
Huntington National BankLorain, OH, CCN 365969 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 28, 2006
Jan 28, 2006
Huntington National BankAmherst, OH, CCN 365924 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 28, 2006
Jan 28, 2006
Huntington National BankLorain, OH, CCN 365940 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 28, 2006
Jan 28, 2006
Avon Oaks Nursing HomeAvon, OH, CCN 365762 Skilled nursing facility W-2 Managing Employee
Adp of the SNF		 May 1, 2023
Oct 24, 2024
Welcome Nursing HomeOberlin, OH, CCN 365508 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2017
Aug 1, 2017
The Laurels of New LondonNew London, OH, CCN 365656 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
St. Mary of the WoodsAvon, OH, CCN 366342 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2024
Dec 1, 2024

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1861465809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TOWER BLVD",
            "address_2": "SUITE B",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440525235",
            "telephone_number": "440-989-4874",
            "fax_number": "440-989-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TOWER BLVD",
            "address_2": "SUITE B",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440525235",
            "telephone_number": "440-989-4874",
            "fax_number": "440-989-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EREN",
        "first_name": "ITRI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35050060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.