Active NPI
Vijay Adusumilli, MD
- Emergency Medicine Physician
- Willoughby, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35081531A
- Practice address
- 36000 Euclid Ave
Willoughby, OH 44094 - Phone
- (440) 953-6203
- Fax
- (440) 953-6202
- NPI assigned
- Mar 29, 2006
- Last updated
- Feb 17, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35081531A | OH | Primary |
Addresses
Primary practice location
36000 Euclid Ave
Willoughby, OH 44094
Mailing address
45 Chatfield Dr
Painesville, OH 44077
Phone (440) 358-0260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2342558 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OH, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.51
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.27 of 100
- Quality
- 68.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.7
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.54 of 100
- Quality
- 81.55
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35081531A | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Corona Regional Emergency Medical Associates Inc | Emergency Medicine | Current | Accepting new patients |
| Ohio Emergency Care Services, Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Cuyahoga County, LTD | Emergency Medicine | Current | Accepting new patients |
| Williams Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Lawton Indian Hospital | Current | Accepting new patients | |
| Ohio Emergency Professionals Inc | Emergency Medicine | Current | Accepting new patients |
| Tiffin Emergency Services, LLC | Emergency Medicine | Past | Accepting new patients |
| Midwest Emergency Management Ohio, Inc | Emergency Medicine | Past | Accepting new patients |
| Ohio Em-I Medical Services Professional Association | Emergency Medicine | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Lake Emergency Services Inc | Emergency Medicine | Past | Accepting new patients |
| Ohio Valley Physicians Inc | Past | Accepting new patients |
Locations
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
141 N Forge St
Akron, OH 44304
Phone (330) 375-3361
525 E Market St
Akron, OH 44304
Phone (330) 375-6350
55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349
155 5th St NE
Barberton, OH 44203
Phone (330) 615-3000
433 W High St
Bryan, OH 43506
Phone (419) 636-1131
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503
921 E Franklin St
Kenton, OH 43326
Phone (419) 673-0761
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
909 E Snyder Ave
Montpelier, OH 43543
Phone (419) 485-3154
651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015
45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900
1100 Neal Zick Rd
Willard, OH 44890
Phone (419) 964-5000
500 Gypsy Ln
Youngstown, OH 44504
Phone (330) 740-4572
1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Akron, OH
- NPI 1265471148
-
dba Emergency Professional Services of Ohio, Inc.
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Emergency Medicine Physician
- Delaware, OH
- NPI 1184028524
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1982983425
-
- Emergency Medicine Physician
- Bryan, OH
- NPI 1609334556
-
- Emergency Medicine Physician
- Corona, CA
- NPI 1134629298
-
- Emergency Medicine Physician
- Willoughby, OH
- NPI 1518927995
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Emergency Medicine Physician
- Tiffin, OH
- NPI 1154655850
-
- Emergency Medicine Physician
- Tiffin, OH
- NPI 1255696480
-
dba OVP Health
- Substance Abuse Rehabilitation Facility
- South Point, OH
- NPI 1750776068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297900800000",
"number": "1487615647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 CHATFIELD DR",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "44077",
"telephone_number": "440-358-0260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36000 EUCLID AVE",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "44094",
"telephone_number": "440-953-6203",
"fax_number": "440-953-6202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADUSUMILLI",
"first_name": "VIJAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2011-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35081531A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2342558",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.