Active NPI
Siva Ramaiah Vemana, MD
- Internal Medicine Physician
- Springfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35039690
- Practice address
- 420 Aberfelda Drive
Springfield, OH 45504 - Phone
- (937) 325-1634
- Fax
- (937) 717-0411
- NPI assigned
- Jul 24, 2006
- Last updated
- Dec 26, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35039690 | OH | Primary |
Addresses
Primary practice location
420 Aberfelda Drive
Springfield, OH 45504
Mailing address
420 Aberfelda Drive
Springfield, OH 45504
Phone (937) 325-1634
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0389173 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080929000072 | OH | Practitioner - Internal Medicine | 2062589393 | Practice locations: Springfield, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35039690 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield SNF, Inc. | Past | Accepting new patients | |
| Derr Leasing Co., LLC | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Allen View Healthcare Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Dec 20, 2018 Dec 20, 2018 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Allen View Healthcare Center
- Skilled Nursing Facility
- Springfield, OH
- NPI 1649747320
Adp of the SNF, Operational/Managerial Control
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.
-
dba Allen View Healthcare Center
- Skilled Nursing Facility
- Springfield, OH
- NPI 1649747320
-
- Skilled Nursing Facility
- Springfield, OH
- NPI 1629569439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577318400000",
"number": "1104848761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 ABERFELDA DRIVE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "45504",
"telephone_number": "937-325-1634",
"fax_number": "937-717-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 ABERFELDA DRIVE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "45504",
"telephone_number": "937-325-1634",
"fax_number": "937-717-0411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEMANA",
"first_name": "SIVA",
"middle_name": "RAMAIAH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2019-12-26",
"certification_date": "2019-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35039690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0389173",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.