Active NPI
Srikanth Vangapandu, MPH, MSPAS, PA-C
- Physician Assistant
- Dayton, OH
National Provider Identifier
1285009837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 5300 Far Hills Ave
Dayton, OH 45429-2381 - Phone
- (937) 433-7536
- Fax
- (937) 433-9612
- NPI assigned
- Dec 8, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
5300 Far Hills Ave
Dayton, OH 45429-2381
Mailing address
5300 Far Hills Ave
Suite 105
Kettering, OH 45429-2381
Phone (937) 433-7536
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
45 S Stanfield Rd
Troy, OH 45373-2366
Phone (937) 339-8380
5300 Far Hills Ave
Dayton, OH 45429-2381
Phone (937) 433-7536
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | 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.
-
- Dermatology Physician
- Dayton, OH
- NPI 1801819883
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470182400000",
"number": "1285009837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 FAR HILLS AVE",
"address_2": "SUITE 105",
"city": "KETTERING",
"state": "OH",
"postal_code": "454292381",
"telephone_number": "937-433-7536",
"fax_number": "937-433-9612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 FAR HILLS AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454292381",
"telephone_number": "937-433-7536",
"fax_number": "937-433-9612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANGAPANDU",
"first_name": "SRIKANTH",
"credential": "MPH, MSPAS, PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-08",
"last_updated": "2016-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.