Individual provider Active NPI

Praveena Cheruvu, MD

  • Radiation Oncology Physician
  • Middletown, OH
National Provider Identifier
1033300215
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35-124301 Issued in OH
Practice address
501 Atrium Dr
Middletown, OH 45005-5165
Phone
(937) 293-1622
Fax
(937) 245-6308
NPI assigned
Aug 5, 2007
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 35-124301 OH Primary

Addresses

Primary practice location

501 Atrium Dr
Middletown, OH 45005-5165

Mailing address

6680 Poe Ave
Suite 200
Dayton, OH 45414-2854
Phone (937) 280-8400

Other practice location 1

1111 Sweitzer St Ste C
Greenville, OH 45331-1189
Phone (937) 293-1622

Other practice location 2

3120 Governors Place Blvd
Kettering, OH 45409-1328
Phone (937) 293-1622

Other practice location 3

9000 N Main St Ste G-37
Englewood, OH 45415-1180
Phone (937) 293-1622

Other practice location 4

2300 Miami Valley Dr Ste 150
Centerville, OH 45459-1294
Phone (937) 293-1622

Other practice location 5

3130 N County Road 25A
Troy, OH 45373-1337
Phone (937) 293-1622

Other identifiers 1

IdentifierTypeStateIssuer
0109389MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pcheruvu664972@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
I20140827002204 OH Practitioner - Radiation Oncology 0749433464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Texas Medical Branch at Galveston, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayton Physicians LLCGroup PAC ID 1456374859, 40 clinicians

Practice addresses (Care Compare)

501 Atrium Dr
Suite 100
Middletown, OH 45005-5165
Phone (937) 293-1622

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.78 of 100Reported as individual
Quality
90.39
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-124301OHMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Physicians, LLC CurrentSince Sep 1, 2014 Accepting new patients
Dayton Physicians, LLC Radiation Oncology CurrentSince Sep 1, 2014 Accepting new patients

Locations

2300 Miami Valley Dr
Ste 150
Centerville, OH 45459
Phone (937) 280-8366

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

6680 Poe Ave
Ste 200
Dayton, OH 45414

9000 N Main St
Ste G-36
Englewood, OH 45415
Phone (937) 832-1093

9000 N Main St
Ste G37
Englewood, OH 45415

1111 Sweitzer St
Ste C
Greenville, OH 45331
Phone (937) 276-8320

3120 Governors Place Blvd
Kettering, OH 45409
Phone (937) 208-6066

501 Atrium Dr
Middletown, OH 45005
Phone (513) 974-6091

501 Atrium Dr
Fl 1
Middletown, OH 45005

501 Atrium Dr
Ste 100
Middletown, OH 45005

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

3130 N County Road 25A
Ste 500
Troy, OH 45373

Interoperability endpoints

  • Direct secure messaging: pcheruvu664972@direct.premierhealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1033300215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6680 POE AVE",
            "address_2": "SUITE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142854",
            "telephone_number": "937-280-8400",
            "fax_number": "937-280-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ATRIUM DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055165",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Sweitzer St Ste C",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "OH",
            "postal_code": "453311189",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3120 Governors Place Blvd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454091328",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 N Main St Ste G-37",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151180",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Miami Valley Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454591294",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 N County Road 25A",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731337",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERUVU",
        "first_name": "PRAVEENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35-124301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0109389",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcheruvu664972@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "1111 Sweitzer St Ste C",
            "city": "Greenville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453311189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.