NPIMap

Individual provider Active NPI

Raj P Vallabhaneni, MD

  • Interventional Cardiology Physician
  • Cleveland, OH
National Provider Identifier
1124025804
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD073287L Issued in PA
Practice address
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone
(216) 778-7800
NPI assigned
Jul 7, 2005
Reactivated
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 35-079676V OH
Interventional Cardiology Physician 207RI0011X MD073287L PA Primary
Cardiovascular Disease Physician 207RC0000X 10494 ND
Specialist 174400000X 35079676V OH

Addresses

Primary practice location

2500 Metrohealth Dr
Cleveland, OH 44109-1900

Mailing address

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (440) 352-4956

Other identifiers 1

IdentifierTypeStateIssuer
2255009MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rvallabhaneni162348@direct.metrohealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031106000048 OH Practitioner - Cardiovascular Disease (Cardiology) 9931011343 Reassigns benefits to 1 organization
I20110713000624 PA Practitioner - Cardiovascular Disease (Cardiology) 9931011343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Conemaugh Physician Practices LLCGroup PAC ID 7315166949, 286 clinicians
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians

Practice addresses (Care Compare)

1 Tech Park Dr
Suite 2100
Johnstown, PA 15901-2507
Phone (814) 475-8600

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

Hospital & facility affiliations

  • Metrohealth System Hospital, Cleveland, OH, CCN 360059
  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110
  • Conemaugh Meyersdale Medical Center Hospital, Meyersdale, PA, CCN 391302
  • Sharon Regional Medical Center Hospital, Sharon, PA, CCN 390211

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35079676VOHMDSpecialist
10494NDMDCardiovascular Disease Physician
35-079676VOHMDInterventional Cardiology Physician
MD073287LPAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Jul 31, 2019 Accepting new patients
Roger Espinosa, M.D., LLC Cardiovascular Disease Current Accepting new patients
Lake Heart Center LLC Interventional Cardiology CurrentSince Feb 1, 2016 Accepting new patients
The Metrohealth System Current Accepting new patients
DLP Conemaugh Physician Practices LLC Cardiovascular Disease CurrentSince Nov 21, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
The Metrohealth System CurrentSince Jul 31, 2019 Accepting new patients
Atrium Medical Group, Inc Specialist PastSince Feb 1, 2016 Accepting new patients
The Dayton Heart Center, Inc. Cardiovascular Disease Past Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients
St. Elizabeth Cardiac Cath Lab, LLC Past Accepting new patients
St. Elizabeth Cardiac Cath Lab, LLC Past Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

124 Liberty St
Ste B
Painesville, OH 44077
Phone (216) 352-4956

124 Liberty St
Painesville, OH 44077
Phone (440) 352-4956

35717 Euclid Ave
Willoughby, OH 44094
Phone (440) 354-0944

1 Tech Park Dr
Ste 2100
Johnstown, PA 15901
Phone (814) 475-8600

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

Interoperability endpoints

  • Direct secure messaging: rvallabhaneni220043@ehrdirect.uhhospitals.org

Organizations & group practices 12

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.

Hospital & facility affiliations 6

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1124025804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "440-352-4956",
            "fax_number": "440-375-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "216-778-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLABHANENI",
        "first_name": "RAJ",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35-079676V",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD073287L",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ND",
            "license": "10494",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35079676V",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2255009",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rvallabhaneni162348@direct.metrohealth.org",
            "affiliation": "N",
            "address_1": "2500 Metrohealth Dr",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441091900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.