Padmaja R Tanneru, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35088340 Issued in OH

Practice address

7657 E Main St
Reynoldsburg, OH 43068-1243

Phone

(614) 865-8500

NPI assigned

Aug 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Emergency Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Carmel Home Care Home health agency, Columbus, OH, CCN 367273
• Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
• Diley Ridge Medical Center Hospital, Canal Winchester, OH, CCN 360358

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ptanneru1148123@direct.trinity-health.org

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.

• Mount Carmel Healthproviders Inc

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1356384143
  Medicare reassignment Care Compare group
• Licking Memorial Professional Corp.

  • Pediatrics Physician
  • Utica, OH
  • NPI 1497771521
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Diley Ridge Medical Center

  • General Acute Care Hospital
  • Canal Winchester, OH
  • NPI 1225361181
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Grove City, OH
  • NPI 1710067376
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1982784534
  Care Compare affiliation
• Trinity Home Health Services

  • Home Health Agency
  • Columbus, OH
  • NPI 1104863927
  Care Compare affiliation

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1295742849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MCMILLEN DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551809",
            "telephone_number": "220-564-1765",
            "fax_number": "220-564-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7657 E MAIN ST",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430681243",
            "telephone_number": "614-865-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNERU",
        "first_name": "PADMAJA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.088340",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35088340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2674155",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aimee Renee Talbott, FNP-C
• Catherine Taliani, MD
• Meita M Tambi, R.N.
• Tanisha Brown DDS, LLC
• Wyatt Lee Tanner, LSW, LCDC III
• Target Corporation and Subsidiaries
• Tashay 1 Home Healthcare Inc
• Donnika S Taylor, MT
• Gabriel Taylor
• Lauren Taylor, FNP-C

• Internal Medicine Physician in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.