Active NPI
Nilla Vibhakar, M.D.
- Pediatrics Physician
- Bedford, OH
National Provider Identifier
1093801508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35-049551
- Practice address
- 19999 Rockside Road
Bedford, OH 44146 - Phone
- (216) 524-7377
- Fax
- (440) 786-3841
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35-049551 | OH | Primary |
Addresses
Primary practice location
19999 Rockside Road
Bedford, OH 44146
Mailing address
1001 Lakeside Ave E
#1200
Cleveland, OH 44114-1158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0537084 | Medicaid | OH |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-049551 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Pediatrics | Current | Accepting new patients |
| The Metrohealth System | Current | Accepting new patients |
Locations
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
19999 Rockside Rd
Cleveland, OH 44146
Phone (440) 439-6622
4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300
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.
-
- Pharmacy
- Cleveland, OH
- NPI 1992529911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381363200000",
"number": "1093801508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 LAKESIDE AVE E",
"address_2": "#1200",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441141158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19999 ROCKSIDE ROAD",
"city": "BEDFORD",
"state": "OH",
"postal_code": "44146",
"telephone_number": "216-524-7377",
"fax_number": "440-786-3841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIBHAKAR",
"first_name": "NILLA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2013-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35-049551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0537084",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.