NPIMap

Individual provider Active NPI

Kandasamy Umapathy, M.D.

  • Internal Medicine Physician
  • Bedford, OH
National Provider Identifier
1316947708
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35074954 Issued in OH
Practice address
88 Center Rd Ste 350
Bedford, OH 44146-2775
Phone
(440) 439-7766
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35074954 OH Primary

Addresses

Primary practice location

88 Center Rd Ste 350
Bedford, OH 44146-2775

Mailing address

88 Center Rd Ste 350
Bedford, OH 44146-2775
Phone (440) 439-7766

Other identifiers 1

IdentifierTypeStateIssuer
2115179MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100823000442 OH Practitioner - Internal Medicine 1153455407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Group IncGroup PAC ID 4789663469, 3 clinicians

Practice addresses (Care Compare)

88 Ctr Rd
Suite 350
Bedford, OH 44146-2775
Phone (440) 439-7766

Hospital & facility affiliations

  • Crossroads Hospice of Cleveland, LLC Hospice, Valley View, OH, CCN 361656
  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359
  • South Pointe Hospital Hospital, Warrensville Heights, OH, CCN 360144
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Uh Regional Hospitals Hospital, Chardon, OH, CCN 360075
  • King David Post Acute Nursing & Rehabilitation LLC Nursing home, Beachwood, OH, CCN 365094
  • Gardens of Mayfield Village Nursing home, Mayfield Heights, OH, CCN 365355
  • Harvard Gardens Rehabilitation & Care Center Nursing home, Cleveland, OH, CCN 365828

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35074954OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Group Inc Internal Medicine CurrentSince May 1, 1999 Accepting new patients
King David Post Acute Nursing & Rehabilitation LLC Past Accepting new patients
Legacy Twinsburg Operating Company, LLC Past Accepting new patients
University Hospitals Ahuja Medical Center, Inc Past Accepting new patients
Northfield Village Retirement Community, LTD. Past Accepting new patients
Cleveland Clinic Health System - East Region Past Accepting new patients
WP Operating LLC Past Accepting new patients
Buckeye Forest at Mayfield Heights LLC Past Accepting new patients

Locations

88 Center Rd
Ste 350
Bedford, OH 44146
Phone (440) 439-7766

25 Tarbell Ave
Bedford, OH 44146
Phone (216) 439-7766

Interoperability endpoints

  • Direct secure messaging: kumapathy37338@ehrdirect.uhhospitals.org
  • Direct secure messaging: kandasamyumapathy@uhhs.allscriptsdirect.net

Organizations & group practices 8

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1316947708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 CENTER RD STE 350",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462775",
            "telephone_number": "440-439-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 CENTER RD STE 350",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462775",
            "telephone_number": "440-439-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMAPATHY",
        "first_name": "KANDASAMY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35074954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2115179",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, OH

Sources for this page

Verify at the official NPI Registry.