Hareendra G. Adhvaryu, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35-039398A Issued in OH

Practice address

14601 Detroit Ave
Suite 690
Lakewood, OH 44107-4214

Phone

(216) 529-2359

Fax

(216) 529-2813

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Interoperability endpoints

• Direct secure messaging: hadhvaryu@direct.swgeneral.com

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.

• Clinic Regional Physicians LLC

  • Internal Medicine Physician
  • Beachwood, OH
  • NPI 1043470453
  NPD (past)
• Lakewood Hospital Association

  • Family Medicine Physician
  • Lakewood, OH
  • NPI 1205933512
  NPD (past)
• Lakewood Hospital Association

  • Pharmacy
  • Lakewood, OH
  • NPI 1386089670
  NPD (past)
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265414400000",
    "number": "1124063425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 DETROIT AVE",
            "address_2": "SUITE 690",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074214",
            "telephone_number": "216-529-2359",
            "fax_number": "216-529-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 DETROIT AVE",
            "address_2": "SUITE 690",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074214",
            "telephone_number": "216-529-2359",
            "fax_number": "216-529-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADHVARYU",
        "first_name": "HAREENDRA",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2010-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-039398A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000509266",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "350064",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0398109",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341542312150",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abilies Resource, Inc.
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• Achieve Enterprises, LLC
• Ade Health and Wellness Limited Liability Company
• Margaret Adler, PT, DPT
• Advanced Dental Care
• Okonkwo Kalu Agbai
• Mohammed F. Ahmad, MD
• Isaac Mohamed Aidja, DO

• Psychiatry Physician in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2010; 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.