NPIMap

Individual provider Active NPI

Sunil J Vaidya, MD

  • Pulmonary Disease Physician
  • Mansfield, OH
National Provider Identifier
1144262346
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35.059862 Issued in OH
Practice address
391 Glessner Ave
Mansfield, OH 44903-2107
Phone
(419) 520-2813
Fax
(419) 756-9797
NPI assigned
Jun 12, 2006
Last updated
Dec 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.059862 OH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35.059862 OH
Pulmonary Disease Physician 207RP1001X 35.059862 OH Primary

Addresses

Primary practice location

391 Glessner Ave
Mansfield, OH 44903-2107

Mailing address

744 Courtwright Blvd
Mansfield, OH 44907-2220
Phone (419) 520-2813

Other identifiers 1

IdentifierTypeStateIssuer
0823890MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address svaidya805760@direct.mercy.com

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
I20070810000093 OH Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 7113928896 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid West Sleep Consultants, LLCGroup PAC ID 2668563388, 2 clinicians
Wyandot Memorial HospitalGroup PAC ID 1557340189, 70 clinicians

Practice addresses (Care Compare)

427 Glessner Ave
Mansfield, OH 44903-2141
Phone (419) 520-2813

885 N Sandusky Ave
Upper Sandusky, OH 43351-1031
Phone 41929449912157

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.78 of 100Reported as individual
Quality
67.61
Improvement activities
40
Cost
79.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wyandot Memorial Hospital CurrentSince Jul 20, 2013 Accepting new patients
Wyandot Memorial Hospital CurrentSince Jul 20, 2013 Accepting new patients
Wyandot Memorial Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Richland Pulmonary and Critical Care Associates Inc Pulmonary Disease PastSince Jan 1, 1993 Accepting new patients

Locations

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

Interoperability endpoints

  • Direct secure messaging: sunil.vaidya@glacecentral.com
  • Direct secure messaging: svaidya805760@direct.bsmhealth.org
  • Direct secure messaging: svaidya805760@direct.mercy.com

Organizations & group practices 6

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 3

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1144262346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 COURTWRIGHT BLVD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072220",
            "telephone_number": "419-520-2813",
            "fax_number": "419-756-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 GLESSNER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032107",
            "telephone_number": "419-520-2813",
            "fax_number": "419-756-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIDYA",
        "first_name": "SUNIL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.059862",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35.059862",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.059862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0823890",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "svaidya805760@direct.mercy.com",
            "affiliation": "N",
            "address_1": "885 N Sandusky Ave",
            "city": "Upper Sandusky",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433511098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.