NPIMap

Individual provider Active NPI

Cassandra Anandappa Tamayo, DO

  • Family Medicine Physician
  • Grove City, OH
National Provider Identifier
1326578089
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.014696 Issued in OH
Practice address
3667 Marlane Dr
Grove City, OH 43123-8895
Phone
(614) 277-9631
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 125071162 IL
Family Medicine Physician 207Q00000X 34.014696 OH Primary

Addresses

Primary practice location

3667 Marlane Dr
Grove City, OH 43123-8895

Mailing address

3021 Cranston Dr
Dublin, OH 43017-1713
Phone (773) 331-8057

Other practice location 1

1325 Community Memorial Dr
LA Grange, IL 60525-2659
Phone (708) 245-8900

Other names 1

  • Cassandra Anandappa Former name

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
I20200810000419 OH Practitioner - Family Practice 2264705664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

3667 Marlane Dr
Grove City, OH 43123-8895
Phone (614) 627-1830

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.014696OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health Providers Inc Family Medicine CurrentSince Sep 28, 2020 Accepting new patients
Mount Carmel Healthproviders Inc Family Medicine CurrentSince Sep 28, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

3667 Marlane Dr
Grove City, OH 43123
Phone (614) 277-9631

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

Interoperability endpoints

  • Direct secure messaging: ctamayo1062384@direct.trinity-health.org

Organizations & group practices 3

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 4

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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1326578089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 CRANSTON DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171713",
            "telephone_number": "773-331-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3667 MARLANE DR",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238895",
            "telephone_number": "614-277-9631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Community Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "IL",
            "postal_code": "605252659",
            "country_code": "US",
            "telephone_number": "708-245-8900",
            "fax_number": "708-245-5777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMAYO",
        "first_name": "CASSANDRA",
        "middle_name": "ANANDAPPA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125071162",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.014696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "ANANDAPPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.