Active NPI
Madhuri Venkata Vallabhuni, M.D
- Neurology Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 35.131899
- Practice address
- 4805 Montgomery Rd Ste 410
Cincinnati, OH 45212-2198 - Phone
- (513) 241-2370
- Fax
- (513) 241-6053
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 43403 | KY | |
| Neurology Physician | 2084N0400X | 35.131899 | OH | Primary |
Addresses
Primary practice location
4805 Montgomery Rd Ste 410
Cincinnati, OH 45212-2198
Mailing address
4805 Montgomery Road
Suite 150
Cincinnati, OH 45212-2280
Phone (513) 241-6053
Other practice location 1
3900 Kresge Way
Suite 56
Louisville, KY 40207-4660
Phone (502) 895-7265
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000667330 | Other | KY | ANTHEM |
| 50029861 | Other | KY | PASSPORT |
| 7100122400 | Medicaid | KY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4805 Montgomery Rd
Suite 410
Cincinnati, OH 45212-2198
Phone (513) 241-2370
Hospital & facility affiliations
- The Jewish Hospital-Mercy Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverhills Healthcare Inc | Neurology | Current | Accepting new patients |
| Riverhills Healthcare, Inc. | Neurology | Past | Accepting new patients |
Locations
4805 Montgomery Rd
Ste 410
Cincinnati, OH 45212
Phone (513) 241-2370
4805 Montgomery Rd
Ste 150
Cincinnati, OH 45212
Phone (513) 241-2370
Interoperability endpoints
- mvallabhuni@rhi.gwaydirect.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822
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 and National Provider Directory roles.
-
- Neurology Physician
- Cincinnati, OH
- NPI 1205943651
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1336478163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1366570533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4805 MONTGOMERY ROAD",
"address_2": "SUITE 150",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122280",
"telephone_number": "513-241-6053",
"fax_number": "513-240-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4805 MONTGOMERY RD STE 410",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122198",
"telephone_number": "513-241-2370",
"fax_number": "513-241-6053"
}
],
"practiceLocations": [
{
"address_1": "3900 Kresge Way",
"address_2": "Suite 56",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402074660",
"country_code": "US",
"telephone_number": "502-895-7265",
"fax_number": "502-897-2032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALLABHUNI",
"first_name": "MADHURI",
"middle_name": "VENKATA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KY",
"license": "43403",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35.131899",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "00000667330",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50029861",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100122400",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.