Individual provider Active NPI

Sameep P. Kadakia, MD

  • Otolaryngology Physician
  • Middletown, OH
National Provider Identifier
1063788461
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35.133158 Issued in OH
Practice address
4222 Grand Ave
Middletown, OH 45044
Phone
(937) 440-7876
Fax
(937) 440-7874
NPI assigned
Mar 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X R0595 TX
Otolaryngology Physician 207Y00000X 35.133158 OH Primary

Addresses

Primary practice location

4222 Grand Ave
Middletown, OH 45044

Mailing address

3170 Kettering Blvd BLDG B3
Moraine, OH 45439-1924
Phone (937) 991-3186

Other practice location 1

923 Pennsylvania Ave Ste 100
Fort Worth, TX 76104-2254
Phone (817) 920-0484

Other identifiers 1

IdentifierTypeStateIssuer
371152503MedicaidTX

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
I20180830002377 OH Practitioner - Otolaryngology 2961779913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uvpc Specialists, Inc.Group PAC ID 8921022260, 80 clinicians

Practice addresses (Care Compare)

30 E Apple St
Dayton, OH 45409-2939

3130 N Count Rd
Troy, OH 45373-1337

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.12 of 100Reported as group
Quality
84.25
Promoting interoperability
100
Improvement activities
40
Cost
72.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision39
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.133158OHMDOtolaryngology Physician
R0595TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uvpc Specialists Inc. CurrentSince Sep 24, 2018 Accepting new patients
Uvpc Specialists, Inc. CurrentSince Sep 24, 2018 Accepting new patients

Locations

8439 Yankee St
Dayton, OH 45458
Phone (937) 440-7872

30 E Apple St
Ste 6252
Dayton, OH 45409
Phone (937) 208-6060

4222 Grand Ave
Middletown, OH 45044
Phone (513) 420-4678

1055 Summit Dr
Middletown, OH 45042
Phone (513) 420-4678

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

3130 N County Road 25A
Ste 212
Troy, OH 45373
Phone (937) 335-0061

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1063788461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B3",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3186",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 GRAND AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "45044",
            "telephone_number": "937-440-7876",
            "fax_number": "937-440-7874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "923 Pennsylvania Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042254",
            "country_code": "US",
            "telephone_number": "817-920-0484",
            "fax_number": "817-920-0068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADAKIA",
        "first_name": "SAMEEP",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-29",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "R0595",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35.133158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371152503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.