Individual provider Active NPI

Vasu Pandrangi, M. D.

  • Plastic Surgery Physician
  • Cleveland, OH
National Provider Identifier
1275648792
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
35045043 Issued in OH
Practice address
7255 Old Oak Blvd Ste C212
Cleveland, OH 44130-3336
Phone
(440) 816-2725
Fax
(440) 816-2721
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35045043 OH
Plastic and Reconstructive Surgery Physician 2086S0122X 35-045043 OH
Plastic Surgery Physician 208200000X 35045043 OH Primary

Addresses

Primary practice location

7255 Old Oak Blvd Ste C212
Cleveland, OH 44130-3336

Mailing address

24701 Euclid Ave
Third Floor Billing Services
Euclid, OH 44117-1714
Phone (440) 816-2725

Other identifiers 1

IdentifierTypeStateIssuer
0444291MedicaidOH

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address vasupandrangi@uhps.allscriptsdirect.net
Direct Messaging Address vasupandrangi@uhps.allscriptsdirect.net
Direct Messaging Address vasupandrangi@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35045043OHMDPlastic Surgery Physician
35-045043OHMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1275648792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "THIRD FLOOR BILLING SERVICES",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "440-816-2725",
            "fax_number": "440-816-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 OLD OAK BLVD STE C212",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303336",
            "telephone_number": "440-816-2725",
            "fax_number": "440-816-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDRANGI",
        "first_name": "VASU",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35045043",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OH",
            "license": "35-045043",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35045043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444291",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vasupandrangi@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "7255 Old Oak Blvd Ste C212",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441303336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vasupandrangi@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "960 Clague Rd Ste 2410",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441451587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vasupandrangi@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "3909 Orange Pl Ste 4300",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441228400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.