Individual provider Active NPI

Vijay Adusumilli, MD

  • Emergency Medicine Physician
  • Willoughby, OH
National Provider Identifier
1487615647
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35081531A Issued in OH
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2342558MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050323000530 TX Practitioner - Emergency Medicine 3375524754 Reassigns benefits to 1 organization
I20050602000198 OH Practitioner - Emergency Medicine 3375524754 Reassigns benefits to 5 organizations
I20160328002267 CA Practitioner - Emergency Medicine 3375524754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.51
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.27 of 100Reported as group
Quality
68.56
Promoting interoperability
100
Improvement activities
40
Cost
68.7

Merit-based Incentive Payment System (MIPS)

Final score
85.54 of 100Reported as group
Quality
81.55
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35081531AOHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Jun 1, 2016 Accepting new patients
Corona Regional Emergency Medical Associates Inc Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
Ohio Emergency Care Services, Inc Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
Emergency Medicine Physicians of Cuyahoga County, LTD Emergency Medicine CurrentSince Feb 18, 2017 Accepting new patients
Williams Emergency Group, LLC Emergency Medicine CurrentSince Jul 15, 2023 Accepting new patients
Lawton Indian Hospital CurrentSince Mar 21, 2020 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Feb 13, 2015 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.

View all 13

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

Verify at the official NPI Registry.