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NPI · 1114404159 · NPPES-sourced

Ni Ketut Hariadi

ActiveNurse Practitioner
NPI Number
1114404159
Type 1 · Individual
Taxonomy Code
363L00000X
Contact
(216) 986-4000
License OH · AG07180050
Last Updated
About 7 years ago (Jul 2018)
Enumerated 2018-07-23
Primary practice addressOH · 44131-2172
5001 Rockside RdIndependence, OH 44131-2172
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About this NPIWhat this record shows.

NPI 1114404159 is registered to Ni Ketut Hariadi, a Nurse Practitioner practising at 5001 Rockside Rd in Independence, Ohio. Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Ni Ketut Hariadi has been enumerated in the National Provider Identifier (NPI) registry since 2018.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2018-07-23
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Ni Ketut Hariadi accepts. To confirm in-network status with your specific health plan, contact Ni Ketut Hariadi directly at (216) 986-4000.

Frequently asked

Yes. NPI 1114404159 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (216) 986-4000.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Ni Ketut Hariadi is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363L00000X
Last updated2018-07
Enumerated2018-07-23
StatusActive
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10 records · same addressOther providers at this location.

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Same specialtyOther Nurse Practitioner providers in Ohio.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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