Sally Namboodiri, M.D.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

35063103 Issued in OH

Practice address

4242 Lorain Ave
Cleveland, OH 44113-3715

Phone

(216) 939-0699

Fax

(216) 939-0789

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306931316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133715",
            "telephone_number": "216-939-0699",
            "fax_number": "216-939-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133715",
            "telephone_number": "216-939-0699",
            "fax_number": "216-939-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMBOODIRI",
        "first_name": "SALLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "35063103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haripriya Nalluri, DDS
• Gregory Alan Nally, R.PH.
• Joseph V Nally, MD
• Christopher Heesoo Nam, MD
• Pradeep M Nambiar, MD
• Stephanie Marie Nameth, STEPHANIE NAMETH
• Marie Namey, CNS
• Alisa P Nammavong, FNP-BC
• Dalya Namrow
• Nana Angels Home Care LLC

• General Acute Care Hospital in Cleveland, OH
• Providers in Cleveland, OH by specialty
• General Acute Care Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.