Individual provider Active NPI

Madhuri Venkata Vallabhuni, M.D

  • Neurology Physician
  • Cincinnati, OH
National Provider Identifier
1366570533
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35.131899 Issued in OH
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00000667330OtherKYANTHEM
50029861OtherKYPASSPORT
7100122400MedicaidKY

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
I20170724002002 OH Practitioner - Neurology 5890987119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverhills Healthcare IncGroup PAC ID 6103719596, 48 clinicians

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 Hospital, Cincinnati, OH, CCN 360016

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverhills Healthcare Inc Neurology CurrentSince Aug 15, 2017 Accepting new patients
Riverhills Healthcare, Inc. Neurology PastSince Aug 15, 2017 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

  • Direct secure messaging: mvallabhuni@rhi.gwaydirect.com
  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.