Madhuri Medarametla, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

35.088760 Issued in OH

Practice address

7590 Wentworth LN
Mentor, OH 44060-7273

Phone

(440) 339-4126

NPI assigned

Jun 8, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmedarametla327619@direct.ochin.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.

• Signature Health, Inc.

  • Mental Health Counselor
  • Garfield Heights, OH
  • NPI 1679767289
  Medicare reassignment NPD
• Ridgecrest Regional Hospital

  • Critical Access Hospital
  • Ridgecrest, CA
  • NPI 1447253125
  Medicare reassignment NPD
• Signature Health Inc

  • Long Term Care Pharmacy
  • Willoughby, OH
  • NPI 1740502335
  NPD
• Signature Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Willoughby, OH
  • NPI 1477575348
  NPD
• Ridgecrest Regional Hospital

  • Ambulatory Surgical Clinic/Center
  • Ridgecrest, CA
  • NPI 1164067971
  NPD
• Ridgecrest Regional Hospital

  • Rural Health Clinic/Center
  • Ridgecrest, CA
  • NPI 1639448400
  NPD

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1346443090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7590 WENTWORTH LN",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607273",
            "telephone_number": "440-339-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7590 WENTWORTH LN",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607273",
            "telephone_number": "440-339-4126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7232 Justin Way",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440604881",
            "country_code": "US",
            "telephone_number": "440-578-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDARAMETLA",
        "first_name": "MADHURI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35.088760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0342391",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia A McNamara, M.D.
• Marc J. McNaughton, MD
• Judith Lynn McNeely
• Rylie McPartland, PMHNP-BC
• Jennifer Maria McPherson, CDCA
• Medical Training Technologies LLC
• Kristi Renea Meenan
• Angela Mehalic
• Meijer Stores Limited Partnership
• Sarah Meisel, PT, DPT

• Child & Adolescent Psychiatry Physician in Mentor, OH
• Providers in Mentor, OH by specialty
• Child & Adolescent Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.