Individual provider Active NPI

Jagdesh Kandala, MD

  • Interventional Cardiology Physician
  • Marietta, OH
National Provider Identifier
1265515662
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
35.144262 Issued in OH
Practice address
400 Matthew St Ste 302
Marietta, OH 45750-1656
Phone
(740) 568-5207
Fax
(740) 568-5297
NPI assigned
Oct 23, 2006
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 290180 NY
Interventional Cardiology Physician 207RI0011X 35.144262 OH Primary
Cardiovascular Disease Physician 207RC0000X 35.144262 OH

Addresses

Primary practice location

400 Matthew St Ste 302
Marietta, OH 45750-1656

Mailing address

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (800) 223-2273

Other practice location 1

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (800) 223-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jagdesh.kandala@mmhs.directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH, WV3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170926002349 NY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2062411929 Reassigns benefits to 2 organizations
I20220816001109 OH Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2062411929 Reassigns benefits to 5 organizations
I20230731002811 WV Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2062411929

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ashtabula County Medical CenterGroup PAC ID 2668465600, 70 clinicians
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

2422 Lake Ave
Ashtabula, OH 44004-4985
Phone (440) 997-6969

400 Matthew St
Suite 302
Marietta, OH 45750-1656
Phone (740) 568-5207

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting26
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.144262OHMDCardiovascular Disease Physician
290180NYMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Institute of Cleveland, LLC CurrentSince Jun 5, 2023 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jul 31, 2017 Accepting new patients
USA Vein Clinics of Morgantown PLLC CurrentSince Jul 11, 2023 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jul 31, 2017 Accepting new patients
Premier Health Specialists Inc Internal Medicine Current Accepting new patients
Marietta Memorial Hospital CurrentSince Aug 5, 2022 Accepting new patients
Premier Health Specialists Inc CurrentSince Oct 1, 2024 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jan 15, 2025 Accepting new patients
Premier Health Specialists Inc CurrentSince Oct 1, 2024 Accepting new patients
Ashtabula County Medical Center CurrentSince Mar 3, 2026 Accepting new patients
Marietta Memorial Hospital CurrentSince Aug 5, 2022 Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation Past Accepting new patients
Chemung Medical Services PC Internal Medicine PastSince Mar 4, 2019 Accepting new patients
Dartmouth-Hitchcock Clinic Internal Medicine Past Accepting new patients

Locations

18375 Ventura Blvd
Tarzana, CA 91356
Phone (818) 422-5322

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300

130 North St
Walton, NY 13856
Phone (607) 865-6541

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

2422 Lake Ave
Ashtabula, OH 44004
Phone (440) 992-4422

803 Farson St
Ste 400
Belpre, OH 45714
Phone (740) 568-5207

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

12575 Rockside Rd
Ste 102
Garfield Hts, OH 44125
Phone (216) 365-9700

400 Matthew St
Ste 302
Marietta, OH 45750
Phone (740) 568-5207

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 374-3526

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

8300 Norton Pkwy
Mentor, OH 44060
Phone (213) 444-2200

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

3006 N Dixie Hwy
Ste 104
Troy, OH 45373
Phone (937) 277-4274

1010 Suncrest VLG
Morgantown, WV 26505
Phone (304) 381-3432

1010 Suncrest VLG
Morgantown, WV 26505
Phone (304) 381-3432

Interoperability endpoints

  • Direct secure messaging: jagdesh.kandala@mmhs.medicity.net
  • Direct secure messaging: jkandeala317027@bassett.direct-ci.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1265515662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "800-223-2273",
            "fax_number": "800-223-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MATTHEW ST STE 302",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501656",
            "telephone_number": "740-568-5207",
            "fax_number": "740-568-5297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "800-223-2273",
            "fax_number": "800-223-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANDALA",
        "first_name": "JAGDESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "290180",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35.144262",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.144262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jagdesh.kandala@mmhs.directaddress.net",
            "affiliation": "N",
            "address_1": "400 Matthew St Ste 302",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.