Individual provider Active NPI

Sasidhar P Kilaru, M.D.

  • Vascular Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1235104985
Registry record updated Oct 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35082964 Issued in OH
Practice address
5885 Harrison Ave
Cincinnati, OH 45248-1691
Phone
(513) 541-0700
Fax
(513) 541-2530
NPI assigned
Feb 17, 2006
Last updated
Oct 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 37924 KY
Surgery Physician 208600000X 35082964 OH
Vascular Surgery Physician 2086S0129X 35082964 OH Primary

Addresses

Primary practice location

5885 Harrison Ave
Cincinnati, OH 45248-1691

Mailing address

5885 Harrison Ave
Cincinnati, OH 45248-1691
Phone (513) 541-0700

Other identifiers 7

IdentifierTypeStateIssuer
2418842MedicaidOH
200481940AMedicaidIN
7100056850MedicaidKY
P00058512OtherOHRAILROAD MEDICARE
P00173109OtherOHRR MEDICARE
P00629656OtherKYRAILROAD MEDICARE
64082308MedicaidKY

Other names 1

  • Dr. Sashi P Kilaru Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skilaru6855@direct.thechristhosptial.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040428000277 OH Practitioner - Vascular Surgery 8628065018 Reassigns benefits to 1 organization
I20120612000255 KY Practitioner - Vascular Surgery 8628065018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Cardiovascular Associates LLCGroup PAC ID 1658449715, 151 clinicians

Practice addresses (Care Compare)

1955 Dixie Hwy
Suite E
Ft Wright, KY 41011-2882
Phone (859) 292-4560

2123 Auburn Ave
Suite 136
Cincinnati, OH 45219-2906
Phone (513) 721-8881

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
77.64
Promoting interoperability
100
Improvement activities
40
Cost
77.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion278
Leg revascularization (restoring blood flow)21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35082964OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Cardiovascular Associates LLC Vascular Surgery CurrentSince Mar 1, 2012 Accepting new patients
The Christ Hospital Medical Associates, LLC PastSince Oct 14, 2014 Accepting new patients
Christ Hospital Cardiology Assoc Past Accepting new patients
Christ Hospital Past Accepting new patients
Professional Readers Group, Inc Specialist Past Accepting new patients

Locations

1955 Dixie Hwy
Ste E
Ft Wright, KY 41011
Phone (859) 292-4560

2123 Auburn Ave
Ste 136
Cincinnati, OH 45219
Phone (513) 206-1060

2123 Auburn Ave
Ste 139
Cincinnati, OH 45219
Phone (513) 206-1170

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

5885 Harrison Ave
Cincinnati, OH 45248
Phone (513) 206-1800

5885 Harrison Ave
Ste 3300
Cincinnati, OH 45248
Phone (513) 241-5489

Organizations & group practices 5

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 9

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603497600000",
    "number": "1235104985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 HARRISON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452481691",
            "telephone_number": "513-541-0700",
            "fax_number": "513-541-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 HARRISON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452481691",
            "telephone_number": "513-541-0700",
            "fax_number": "513-541-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILARU",
        "first_name": "SASIDHAR",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "37924",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35082964",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35082964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2418842",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200481940A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100056850",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00058512",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00173109",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00629656",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64082308",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skilaru6855@direct.thechristhosptial.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5885 Harrison Ave",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452481691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SASHI",
            "last_name": "KILARU",
            "middle_name": "P",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.