NPIMap

Individual provider Active NPI

Padmaja Duddella, M.D.

  • Internal Medicine Physician
  • Fairlawn, OH
National Provider Identifier
1245260561
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35077580 Issued in OH
Practice address
822 Kumho Dr
Suite 202
Fairlawn, OH 44333-9297
Phone
(330) 576-0500
Fax
(330) 576-0467
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35077580 OH Primary
Hospitalist Physician 208M00000X 35077580 OH

Addresses

Primary practice location

822 Kumho Dr
Suite 202
Fairlawn, OH 44333-9297

Mailing address

7574 Herrick Park Dr
Hudson, OH 44236-2375
Phone (330) 294-0294

Other identifiers 1

IdentifierTypeStateIssuer
2216864MedicaidOH

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
I20050602000934 OH Practitioner - Internal Medicine 0840233664 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Ohio LLCGroup PAC ID 9032527221, 232 clinicians
4M Hospitalist Services, LLCGroup PAC ID 0446480966, 23 clinicians

Practice addresses (Care Compare)

141 N Forge St
Akron, OH 44304-1407
Phone (330) 375-3000

3557 Embassy Pkwy
Fairlawn, OH 44333-8358
Phone (330) 670-1005

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020
  • Crystal Clinic Orthopaedic Center Hospital, Akron, OH, CCN 360351

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35077580OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
4M Hospitalist Services, LLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Usacs Integrated Acute Care Services of Ohio, LLC Internal Medicine CurrentSince Dec 18, 2023 Accepting new patients
Inpatient Medical Services, Inc. Internal Medicine CurrentSince Aug 14, 2006 Accepting new patients
Summa Health System Past Accepting new patients
Churchill Counseling Services, Inc PastSince Jan 26, 1996 Accepting new patients
Trumbull Mahoning Medical Group, Inc. Internal Medicine Past Accepting new patients

Locations

141 N Forge St
Akron, OH 44304
Phone (330) 375-3361

29 N Adams St
Akron, OH 44304
Phone (330) 572-7293

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

4040 Embassy Pkwy
Ste 400
Akron, OH 44333
Phone (330) 576-4295

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

822 Kumho Dr
Ste 202
Fairlawn, OH 44333

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1245260561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7574 HERRICK PARK DR",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442362375",
            "telephone_number": "330-294-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 KUMHO DR",
            "address_2": "SUITE 202",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443339297",
            "telephone_number": "330-576-0500",
            "fax_number": "330-576-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDDELLA",
        "first_name": "PADMAJA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35077580",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35077580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2216864",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.