Indiradevi Vellanki, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

48600 Issued in OH

Practice address

8536 Crow Dr
Suit-200
Macedonia, OH 44056-1900

Phone

(330) 777-9242

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Indiradevi Malempati Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Comprehensive Minds LLC

  • Psychiatry Physician
  • Broadview HTS, OH
  • NPI 1659764249
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1104908466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8536 CROW DR",
            "address_2": "SUIT-200",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561900",
            "telephone_number": "330-777-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8536 CROW DR",
            "address_2": "SUIT-200",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561900",
            "telephone_number": "330-777-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLANKI",
        "first_name": "INDIRADEVI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "48600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INDIRADEVI",
            "last_name": "MALEMPATI",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christiaan Philip Turner Sr.
• Megan Joann Vaji
• Manish Valiathan, MDS DDS MSD
• Dharmishta Vallabh, B.S.P.S, PHARMD
• Dawn Elaine Vana
• Ida G Vickers, LPN
• Vividly Profound LLC
• Melissa Voigt, BSN, RN, IBCLC
• Jessica Ann Von Benken, NP
• Wal-Mart Stores East LP

• Internal Medicine Physician in Macedonia, OH
• Providers in Macedonia, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.