Individual provider Active NPI

Vidhi Adlakha, D.O.

  • General Practice Physician
  • Massillon, OH
National Provider Identifier
1205142361
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
58.003531 Issued in OH
Practice address
875 8TH St NE
Medical Education Department
Massillon, OH 44646-8503
Phone
(330) 832-8761
NPI assigned
Aug 27, 2010
Last updated
Apr 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 58.003531 OH Primary

Addresses

Primary practice location

875 8TH St NE
Medical Education Department
Massillon, OH 44646-8503

Mailing address

875 8TH St NE
Medical Education Department
Massillon, OH 44646-8503
Phone (330) 832-8761

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180911003923 OH Practitioner - Plastic and Reconstructive Surgery 6406131952 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58.003531OHMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adlakha Plastic Surgery CurrentSince Oct 10, 2021 Accepting new patients
Mercy Professional Care, LLC CurrentSince Sep 1, 2018 Accepting new patients
The Cleveland Clinic Foundation PastSince Sep 1, 2018 Accepting new patients

Locations

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

1330 Mercy Dr NW
Ste 319
Canton, OH 44708
Phone (330) 580-4706

3951 Convenience Cir NW
Ste 101
Canton, OH 44718
Phone (234) 458-2010

7337 Caritas Cir NW
Ste 220
Massillon, OH 44646
Phone (330) 489-1362

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1205142361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 8TH ST NE",
            "address_2": "MEDICAL EDUCATION DEPARTMENT",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468503",
            "telephone_number": "330-832-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 8TH ST NE",
            "address_2": "MEDICAL EDUCATION DEPARTMENT",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468503",
            "telephone_number": "330-832-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLAKHA",
        "first_name": "VIDHI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "58.003531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.