Palanivel G Moorthy, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

35-042652 Issued in OH

Practice address

311 Nilles Rd
Ste G
Fairfield, OH 45014-2636

Phone

(513) 858-6555

Fax

(513) 858-6222

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Moorthy Medical Associates, LLC

  • Neurological Surgery Physician
  • Fairfield, OH
  • NPI 1003917154
  NPD (past) Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1376564849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643273",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452640307",
            "telephone_number": "513-891-2813",
            "fax_number": "513-793-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NILLES RD",
            "address_2": "STE G",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142636",
            "telephone_number": "513-858-6555",
            "fax_number": "513-858-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORTHY",
        "first_name": "PALANIVEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35-042652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00062550",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408973",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dara Moore, RN
• Rebecca Moore
• Courtney Marie Moorehead, MSN, PMHNP-BC
• Lisa M Moorman, CNP
• Moorthy Medical Associates, LLC
• John F Morehous, M.D.
• Murile Vincent Morgan
• Alex Moseley, MD
• Angel Motter
• Mount Sinai Care LLC

• Neurology Physician in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Neurology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.