NPIMap

Individual provider Active NPI

Adarsh Vennepureddy, M.D

  • Hematology & Oncology Physician
  • Sandusky, OH
National Provider Identifier
1104265156
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
35.135816 Issued in OH
Practice address
417 Quarry Lakes Dr
Sandusky, OH 44870-8635
Phone
(419) 626-9090
Fax
(419) 626-6319
NPI assigned
Jun 21, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 35.135816 OH Primary

Addresses

Primary practice location

417 Quarry Lakes Dr
Sandusky, OH 44870-8635

Mailing address

6672 List St NW
Canton, OH 44708-6419

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
I20190719001552 OH Practitioner - Hematology/Oncology 1355613795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.39 of 100Reported as group
Quality
77.5
Promoting interoperability
100
Improvement activities
40
Cost
74.58

Merit-based Incentive Payment System (MIPS)

Final score
96.78 of 100Reported as apm
Quality
89.46
Promoting interoperability
99.02
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
285750NYMDLicensed Practical Nurse
35.135816OHMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aultman Hospital Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Aug 21, 2024 Accepting new patients

Locations

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

417 Quarry Lakes Dr
Sandusky, OH 44870
Phone (419) 609-2845

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Interoperability endpoints

  • Direct secure messaging: adarsh.vennepureddy@amghemonc.ikm.direct-ci.com
  • Direct secure messaging: adarsh.vennepureddy@direct.aultman.org
  • Direct secure messaging: adarsh.vennepureddy@mmhs.medicity.net

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 9

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": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1104265156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6672 LIST ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447086419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 QUARRY LAKES DR",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448708635",
            "telephone_number": "419-626-9090",
            "fax_number": "419-626-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENNEPUREDDY",
        "first_name": "ADARSH",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2024-09-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35.135816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.