NPIMap

Individual provider Active NPI

Varinder S. Dhillon, M.D.

  • Internal Medicine Physician
  • Willoughby Hills, OH
National Provider Identifier
1154563203
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-0969572 Issued in OH
Practice address
2747 Som Center Rd
Suite D
Willoughby Hills, OH 44094-9164
Phone
(440) 516-0530
Fax
(440) 516-0492
NPI assigned
Apr 2, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-0969572 OH Primary

Addresses

Primary practice location

2747 Som Center Rd
Suite D
Willoughby Hills, OH 44094-9164

Mailing address

7590 Auburn Road, Suite 014
Attn: Med Staff
Concord TWP., OH 44077-9176
Phone (440) 354-1899

Other identifiers 1

IdentifierTypeStateIssuer
3149006MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address varinder.dhillon@lhpg.eclinicaldirectplus.com Direct

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
I20110613000367 OH Practitioner - Internal Medicine 9133306525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Hospital System, Inc.Group PAC ID 6002713922, 92 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

36500 Euclid Ave
Willoughby, OH 44094-4455
Phone (440) 516-0530

9485 Mentor Ave
Mentor, OH 44060-8723

Hospital & facility affiliations

  • University Hospital Home Care Services, Inc Home health agency, Warrensville HTS, OH, CCN 367424
  • Bella Care Hospice Hospice, Westerville, OH, CCN 361646
  • Lake Health Hospital, Concord, OH, CCN 360098
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Concord Ridge Health and Rehabilitation Nursing home, Mentor, OH, CCN 366011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-0969572OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc Internal Medicine Current Accepting new patients
Lake Hospital System Internal Medicine CurrentSince Jun 30, 2011 Accepting new patients
Lake Hospital System, Inc Internal Medicine CurrentSince Jun 30, 2011 Accepting new patients
Lake Hospital System, Inc Internal Medicine Past Accepting new patients
Concord Ridge Health and Rehabilitation, Inc. Past Accepting new patients
Homestead I Healthcare Group, LLC Past Accepting new patients

Locations

7590 Auburn Rd
Ste 14
Concord Township, OH 44077
Phone (440) 354-1899

9485 Mentor Ave
Ste 210
Mentor, OH 44060
Phone (440) 205-5835

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

2747 Som Center Rd
Unit D
Willoughby Hills, OH 44094
Phone (440) 516-0530

Interoperability endpoints

  • Direct secure messaging: vdhillon37057@ehrdirect.uhhospitals.org

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.

FacilityTypeRoleSince
Concord Ridge Health and RehabilitationMentor, OH, CCN 366011 Skilled nursing facility Adp of the SNF Dec 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1154563203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7590 AUBURN ROAD, SUITE 014",
            "address_2": "ATTN: MED STAFF",
            "city": "CONCORD TWP.",
            "state": "OH",
            "postal_code": "440779176",
            "telephone_number": "440-354-1899",
            "fax_number": "440-354-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 SOM CENTER RD",
            "address_2": "SUITE D",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949164",
            "telephone_number": "440-516-0530",
            "fax_number": "440-516-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "VARINDER",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-02",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-0969572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3149006",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "varinder.dhillon@lhpg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Baseline West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "9485 Mentor Avenue",
            "address_2": "Suite 210",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

Verify at the official NPI Registry.