Active NPI
Annadorai Kalahasthy, MD
- Internal Medicine Physician
- Huber Heights, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.074814
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2108883 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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
- Buckeye Home Health Care, LLC
- Kettering Homecare
- Miami Valley Hospital
- Upper Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.94 of 100
- Quality
- 80.85
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 79.78
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.074814 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Family Care Inc | Internal Medicine | Current | Accepting new patients |
| Samaritan Family Care Inc | Current | Accepting new patients | |
| Premier Health Urgent Care, Inc. | Current | 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.
-
- Family Medicine Physician
- Moraine, OH
- NPI 1659503886
Internal Medicine, OH
-
- Hospitalist Physician
- Dayton, OH
- NPI 1558316638
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Family Medicine Physician
- Brookville, OH
- NPI 1851344501
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kettering, OH
- NPI 1639195332
-
- Home Health Agency
- Dayton, OH
- NPI 1699879601
-
- Home Health Agency
- Moraine, OH
- NPI 1235127838
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.