Individual provider Active NPI

Aditya Dewanto Hendrani, M.D.

  • Cardiovascular Disease Physician
  • Akron, OH
National Provider Identifier
1295176113
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD466828 Issued in PA
Practice address
224 W Exchange St Ste 225
Akron, OH 44302-1726
Phone
(330) 344-7400
Fax
(330) 344-2015
NPI assigned
Jul 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD466828 PA Primary

Addresses

Primary practice location

224 W Exchange St Ste 225
Akron, OH 44302-1726

Mailing address

224 W Exchange St Ste 225
Akron, OH 44302-1726
Phone (330) 344-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190801000651 PA Practitioner - Cardiovascular Disease (Cardiology) 5496051583 Reassigns benefits to 1 organization
I20231016001144 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5496051583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somerset Health Services IncGroup PAC ID 2668434614, 44 clinicians
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

126 E Church St
3100 Somerset Cardiology
Somerset, PA 15501-2274
Phone (814) 443-7101

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

Hospital & facility affiliations

  • Akron General Medical Center Hospital, Akron, OH, CCN 360027
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Medina Hospital Hospital, Medina, OH, CCN 360091
  • Lodi Community Hospital Hospital, Lodi, OH, CCN 361303
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD466828PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group Cardiovascular Disease CurrentSince Sep 3, 2023 Accepting new patients
Somerset Health Services, Inc. CurrentSince Aug 1, 2019 Accepting new patients
The Cleveland Clinic Foundation CurrentSince May 15, 2024 Accepting new patients
Partners Physician Group CurrentSince Sep 3, 2023 Accepting new patients
Somerset Health Services Inc Current Accepting new patients
Medstar Good Samaritan Physicians LLC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

224 W Exchange St
Ste 440
Akron, OH 44302
Phone (330) 344-1980

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400

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

426 Main St
Berlin, PA 15530
Phone (814) 267-4603

126 E Church St
Ste 3100
Somerset, PA 15501
Phone (814) 445-3535

225 S Center Ave
Somerset, PA 15501
Phone (814) 443-5000

Organizations & group practices 7

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.

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": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1295176113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W EXCHANGE ST STE 225",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021726",
            "telephone_number": "330-344-7400",
            "fax_number": "330-344-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W EXCHANGE ST STE 225",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021726",
            "telephone_number": "330-344-7400",
            "fax_number": "330-344-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRANI",
        "first_name": "ADITYA",
        "middle_name": "DEWANTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD466828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.