Individual provider Active NPI

Bhimavarapu Krishnamohan Reddy, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Dayton, OH
National Provider Identifier
1346294485
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
35-03-5932-R Issued in OH
Practice address
1 Elizabeth PL
Suite # 230
Dayton, OH 45408-1445
Phone
(937) 222-2233
Fax
(937) 222-9665
NPI assigned
May 22, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 35-03-5932-R OH Primary

Addresses

Primary practice location

1 Elizabeth PL
Suite # 230
Dayton, OH 45408-1445

Mailing address

1 Elizabeth PL
Suite # 230
Dayton, OH 45408-1445
Phone (937) 222-2233

Other identifiers 2

IdentifierTypeStateIssuer
35-03-5932ROtherOHOHIO LICENSE
0339879MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20031126000353 OH Practitioner - Interventional Pain Management 6608770383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dayton Pain Center LLCGroup PAC ID 8123922887, 10 clinicians

Practice addresses (Care Compare)

1 Elizabeth PL
Dayton, OH 45417-3445
Phone (937) 222-2233

1 Elizabeth Place
Suite D
Dayton, OH 45417-3445

331 6TH Ave
Sidney, OH 45365-1040
Phone (937) 497-9200

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Pain Center LLC CurrentSince Sep 26, 2003 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1 Elizabeth Pl
Dayton, OH 45417
Phone (937) 424-8200

1 Elizabeth Pl
#D
Dayton, OH 45417
Phone (937) 222-2233

1 Elizabeth Pl
Ste 123
Dayton, OH 45417

1 Elizabeth Pl
Ste 230
Dayton, OH 45417
Phone (937) 223-4900

1 Elizabeth Pl
Ste D
Dayton, OH 45417
Phone (937) 222-2233

331 6th Ave
Sidney, OH 45365
Phone (937) 222-2233

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1346294485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL",
            "address_2": "SUITE # 230",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454081445",
            "telephone_number": "937-222-2233",
            "fax_number": "937-222-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL",
            "address_2": "SUITE # 230",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454081445",
            "telephone_number": "937-222-2233",
            "fax_number": "937-222-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "BHIMAVARAPU",
        "middle_name": "KRISHNAMOHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35-03-5932-R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSE",
            "identifier": "35-03-5932R",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0339879",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.