Individual provider Active NPI

Rajani V Vallabhaneni, M.D.

  • Family Medicine Physician
  • Cleveland, OH
National Provider Identifier
1245434638
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.092341 Issued in OH
Practice address
7225 Old Oak Blvd
Cleveland, OH 44130-3339
Phone
(440) 816-2761
NPI assigned
Jun 12, 2007
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.092341 OH Primary

Addresses

Primary practice location

7225 Old Oak Blvd
Cleveland, OH 44130-3339

Mailing address

645 Hardwick Dr
Aurora, OH 44202-7004
Phone (216) 905-2202

Other identifiers 1

IdentifierTypeStateIssuer
3096126MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drrajanivallabhaneni@southwestfamilyphysicians.medentdirect.com

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
I20101029000556 OH Practitioner - Family Practice 7517151996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7225 Old Oak Blvd
Suite A210
Cleveland, OH 44130-3339
Phone (440) 816-2761

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.092341OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest General Medical Group Inc Family Medicine Current Accepting new patients
Southwest Family Physicians, Inc. Family Medicine Current Accepting new patients
Premier Urgent Care, LLC PastSince Oct 17, 2021 Accepting new patients

Locations

7225 Old Oak Blvd
Middleburg Heights, OH 44130
Phone (216) 816-2752

7225 Old Oak Blvd
Ste A210
Middleburg Heights, OH 44130
Phone (440) 816-2761

Interoperability endpoints

  • Direct secure messaging: drrajanivallabhaneni@southwestfamilyphysicians.medentdirect.com

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.

Hospital & facility affiliations 2

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1245434638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 HARDWICK DR",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442027004",
            "telephone_number": "216-905-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 OLD OAK BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303339",
            "telephone_number": "440-816-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLABHANENI",
        "first_name": "RAJANI",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.092341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3096126",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drrajanivallabhaneni@southwestfamilyphysicians.medentdirect.com",
            "affiliation": "N",
            "address_1": "7225 Old Oak Blvd",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441303339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.