Active NPI
Anita Cheriyan, MD
- Gastroenterology Physician
- Westlake, OH
National Provider Identifier
1003882762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 35052512C
- Practice address
- 25200 Center Ridge Rd
#3200
Westlake, OH 44145 - Phone
- (440) 895-5040
- Fax
- (440) 895-5073
- NPI assigned
- Feb 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 35052512C | OH | Primary |
Addresses
Primary practice location
25200 Center Ridge Rd
#3200
Westlake, OH 44145
Mailing address
20525 Center Ridge Rd
Ste 220
Rocky River, OH 44116
Phone (440) 895-5056
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2822259 | Other | AETNA | |
| 000000221925 | Other | ANTHEM | |
| 0406871 | Other | UNITED HEALTHCARE | |
| 0660995 | Medicaid | OH | |
| M52512 | Other | SUMMACARE APEX | |
| 341783789067 | Other | CARESOURCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35052512C | OH | MD | Gastroenterology Physician |
Interoperability endpoints
- https://api.platform.athenahealth.com/15640/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1003882762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20525 CENTER RIDGE RD",
"address_2": "STE 220",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "44116",
"telephone_number": "440-895-5056",
"fax_number": "440-895-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25200 CENTER RIDGE RD",
"address_2": "#3200",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "44145",
"telephone_number": "440-895-5040",
"fax_number": "440-895-5073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERIYAN",
"first_name": "ANITA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "35052512C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2822259",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000221925",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0406871",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0660995",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMACARE APEX",
"identifier": "M52512",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "341783789067",
"state": null
}
],
"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 May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.