Individual provider Active NPI

Annadorai Kalahasthy, MD

  • Internal Medicine Physician
  • Huber Heights, OH
National Provider Identifier
1023064433
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.074814 Issued in OH
Practice address
6251 Good Samaritan Way
Suite 210 a
Huber Heights, OH 45424-1051
Phone
(937) 233-2009
Fax
(937) 233-8389
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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 35.074814 OH Primary

Addresses

Primary practice location

6251 Good Samaritan Way
Suite 210 a
Huber Heights, OH 45424-1051

Mailing address

6251 Miami Valley Way
Suite 210a
Huber Heights, OH 45424
Phone (937) 233-2009

Other identifiers 1

IdentifierTypeStateIssuer
2108883MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL akalahasthy1606@direct.premierhealth.com

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
I20100201000415 OH Practitioner - Internal Medicine 7810030731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Samaritan Family Care IncGroup PAC ID 5092608372, 58 clinicians

Practice addresses (Care Compare)

6251 Miami Valley Way
Suite 210a
Huber Heights, OH 45424-5464
Phone (937) 233-2009

Hospital & facility affiliations

  • Fidelity Health Care Home health agency, Moraine, OH, CCN 367160
  • Buckeye Home Health Care, LLC Home health agency, Dayton, OH, CCN 368197
  • Kettering Homecare Home health agency, Kettering, OH, CCN 367778
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174

Merit-based Incentive Payment System (MIPS)

Final score
87.94 of 100Reported as group
Quality
80.85
Promoting interoperability
99
Improvement activities
40
Cost
79.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.074814OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Family Care Inc Internal Medicine CurrentSince May 30, 2000 Accepting new patients
Samaritan Family Care Inc CurrentSince May 30, 2000 Accepting new patients
Premier Health Urgent Care, Inc. CurrentSince Jun 1, 2019 Accepting new patients
Samaritan Family Care, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1530 Needmore Rd
Ste 200
Dayton, OH 45414
Phone (937) 278-5854

8290 Old Troy Pike
Ste 40A
Huber Heights, OH 45424
Phone (937) 208-4100

6251 Miami Valley Way
Ste 210A
Huber Heights, OH 45424
Phone (937) 233-2009

8638 Troy Pike
Ste 102
Huber Heights, OH 45424
Phone (937) 233-3915

8 Prestige Plaza Dr
Ste 107
Miamisburg, OH 45342
Phone (937) 208-6871

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1023064433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6251 MIAMI VALLEY WAY",
            "address_2": "SUITE 210A",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "45424",
            "telephone_number": "937-233-2009",
            "fax_number": "937-233-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6251 GOOD SAMARITAN WAY",
            "address_2": "SUITE 210 A",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241051",
            "telephone_number": "937-233-2009",
            "fax_number": "937-233-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAHASTHY",
        "first_name": "ANNADORAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.074814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2108883",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "akalahasthy1606@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "6251 Good Samaritan Way",
            "address_2": "Suite 210 A",
            "city": "Huber Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454241051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

Verify at the official NPI Registry.