Individual provider Active NPI

Gurunanthan Palani, MD, FACP

  • Endocrinology, Diabetes & Metabolism Physician
  • Newark, OH
National Provider Identifier
1477865285
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
35.141262 Issued in OH
Practice address
1272 W Main St Ste 204
Newark, OH 43055-2055
Phone
(220) 564-1740
Fax
(220) 564-1741
NPI assigned
Jul 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 35.141262 OH Primary

Addresses

Primary practice location

1272 W Main St Ste 204
Newark, OH 43055-2055

Mailing address

1320 W Main St
Newark, OH 43055-1822
Phone (220) 564-1740

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gpalani24955@lickingmemorial.medicity.net

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
I20210624003201 OH Practitioner - Endocrinology 9032350624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1272 W Main St
Suite 204
Newark, OH 43055-2055
Phone (220) 564-7950

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
75.66
Promoting interoperability
100
Improvement activities
40
Cost
75.38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Licking Memorial Professional Corporation CurrentSince Jul 7, 2021 Accepting new patients
Salahuddin Syed MD PC Single Specialty Current Accepting new patients
Licking Memorial Health Professionals Single Specialty CurrentSince Jul 7, 2021 Accepting new patients
McLaren Flint Single Specialty Past Accepting new patients
McLaren Flint Single Specialty Past Accepting new patients
McLaren Flint Single Specialty Past Accepting new patients
Licking Memorial Professional Corp. Single Specialty Past Accepting new patients
Licking Memorial Professional Corp. Single Specialty Past Accepting new patients

Locations

1272 W Main St
Ste 204
Newark, OH 43055
Phone (220) 564-1740

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806

Organizations & group practices 8

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": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1477865285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551822",
            "telephone_number": "220-564-1740",
            "fax_number": "220-564-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 W MAIN ST STE 204",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552055",
            "telephone_number": "220-564-1740",
            "fax_number": "220-564-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALANI",
        "first_name": "GURUNANTHAN",
        "name_prefix": "Dr.",
        "credential": "MD, FACP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35.141262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gpalani24955@lickingmemorial.medicity.net",
            "affiliation": "N",
            "address_1": "1272 W Main St Ste 204",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430552055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.