Organization Active NPI

Cleveland Telehealth LLC

  • Family Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1932062742
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CLEVELAND TELEHEALTH LLC
Practice address
4453 W 51St St
Cleveland, OH 44144-2933
Phone
(216) 612-4437
NPI assigned
Dec 8, 2025
Last updated
Dec 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Moses Onyekachi NnoromNPI 1063009454
Title
Owner
Phone
(323) 676-1281

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

4453 W 51St St
Cleveland, OH 44144-2933

Mailing address

4453 W 51St St
Cleveland, OH 44144-2933
Phone (216) 612-4437

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251218002822 OH Part B Supplier - Clinic/Group Practice 2860987724 Receives reassigned benefits from 1 practitioner
Practice locations: Cleveland, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1932062742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4453 W 51ST ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441442933",
            "telephone_number": "216-612-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4453 W 51ST ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441442933",
            "telephone_number": "216-612-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND TELEHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "NNOROM",
        "authorized_official_first_name": "MOSES",
        "authorized_official_middle_name": "ONYEKACHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-676-1281"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.