Individual provider Active NPI

Umamaheswara Rao Vellanki, M.D

  • Psychiatry Physician
  • Springfield, OH
National Provider Identifier
1083785158
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35063060 Issued in OH
Practice address
3162 El Camino Dr
Springfield, OH 45503-1318
Phone
(937) 342-9030
Fax
(937) 342-9039
NPI assigned
Nov 12, 2006
Last updated
Mar 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35063060 OH Primary

Addresses

Primary practice location

3162 El Camino Dr
Springfield, OH 45503-1318

Mailing address

3162 El Camino Dr
Springfield, OH 45503-1318
Phone (937) 342-9030

Other identifiers 2

IdentifierTypeStateIssuer
0879492MedicaidOH
0718628OtherOHMEDICARE IDENTIFICATION

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
I20040320000434 OH Practitioner - Psychiatry 9234029653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Springfield Psychiatric Associates IncGroup PAC ID 4183514599, 5 clinicians

Practice addresses (Care Compare)

3162 El Camino Dr
Springfield, OH 45503-1318
Phone (937) 342-9030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.92 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
74.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35063060OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Psychiatric Associates Inc Psychiatry CurrentSince Apr 16, 2001 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3150 El Camino Dr
Springfield, OH 45503
Phone (937) 342-9030

3162 El Camino Dr
Springfield, OH 45503
Phone (937) 342-9030

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 2

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": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1083785158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3162 EL CAMINO DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031318",
            "telephone_number": "937-342-9030",
            "fax_number": "937-342-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 EL CAMINO DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031318",
            "telephone_number": "937-342-9030",
            "fax_number": "937-342-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLANKI",
        "first_name": "UMAMAHESWARA",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-12",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35063060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0879492",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION",
            "identifier": "0718628",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.