NPIMap

Individual provider Active NPI

Shyam S R Allamaneni, MD

  • Surgical Oncology Physician
  • Cincinnati, OH
National Provider Identifier
1053553586
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
35.097908 Issued in OH
Practice address
4750 E Galbraith Rd
Ste. 206
Cincinnati, OH 45236-6706
Phone
(513) 686-1476
Fax
(513) 686-5620
NPI assigned
Mar 30, 2009
Last updated
May 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.097908 OH
Surgical Oncology Physician 2086X0206X 35.097908 OH Primary

Addresses

Primary practice location

4750 E Galbraith Rd
Ste. 206
Cincinnati, OH 45236-6706

Mailing address

4750 E Galbraith Rd
Ste. 206
Cincinnati, OH 45236-6706
Phone (513) 686-1476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110930000295 OH Practitioner - Surgical OncologyPractitioner - General Surgery 9830249630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4750 E Galbraith Rd
Suite 207
Cincinnati, OH 45236-6706
Phone (513) 686-5392

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003289NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC Surgery CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Surgery CurrentSince Oct 17, 2011 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Oct 17, 2011 Accepting new patients
Jewish Hospital LLC Past Accepting new patients

Locations

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

4750 E Galbraith Rd
Ste 206
Cincinnati, OH 45236
Phone (513) 686-4800

4750 E Galbraith Rd
Ste 207
Cincinnati, OH 45236
Phone (513) 682-6980

4760 E Galbraith Rd
Ste 200
Cincinnati, OH 45236
Phone (513) 735-1529

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Interoperability endpoints

  • Direct secure messaging: sallamaneni44390@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1053553586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 E GALBRAITH RD",
            "address_2": "STE. 206",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366706",
            "telephone_number": "513-686-1476",
            "fax_number": "513-686-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 E GALBRAITH RD",
            "address_2": "STE. 206",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366706",
            "telephone_number": "513-686-1476",
            "fax_number": "513-686-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAMANENI",
        "first_name": "SHYAM",
        "middle_name": "S R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.097908",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "OH",
            "license": "35.097908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.