Active NPI
Krishnan Sundararajan, M.D.
- Cardiovascular Disease Physician
- Chardon, OH
National Provider Identifier
1285672642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 35065450
- Practice address
- 100 7TH Ave
Ste 222
Chardon, OH 44024-7804 - Phone
- (440) 285-2300
- Fax
- (440) 285-2320
- NPI assigned
- Jun 4, 2006
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35065450 | OH | Primary |
Addresses
Primary practice location
100 7TH Ave
Ste 222
Chardon, OH 44024-7804
Mailing address
100 Seventh Ave
Ste 222
Chardon, OH 44024-1067
Phone (440) 350-9740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0959575 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
531 5TH Ave
Chardon, OH 44024-1088
Phone (440) 285-2300
Hospital & facility affiliations
- Uh Regional Hospitals
- Uhhs Memorial Hospital of Geneva
- Lake Health
- Uh Cleveland Medical Center
- University Hospitals Conneaut Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.61 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 75.37
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35065450 | OH | MD | Cardiovascular Disease Physician |
Interoperability endpoints
- ksundararajan37138@ehrdirect.uhhospitals.org
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Chardon, OH
- NPI 1851494793
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Willoughby, OH
- NPI 1972689172
-
- General Acute Care Hospital
- Chardon, OH
- NPI 1669562864
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
-
- Critical Access Hospital
- Conneaut, OH
- NPI 1902996119
-
- Critical Access Hospital
- Geneva, OH
- NPI 1225128432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1285672642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SEVENTH AVE",
"address_2": "STE 222",
"city": "CHARDON",
"state": "OH",
"postal_code": "440241067",
"telephone_number": "440-350-9740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 7TH AVE",
"address_2": "STE 222",
"city": "CHARDON",
"state": "OH",
"postal_code": "440247804",
"telephone_number": "440-285-2300",
"fax_number": "440-285-2320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDARARAJAN",
"first_name": "KRISHNAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35065450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0959575",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.