Active NPI
Sitarama Pochiraju, MD
- Internal Medicine Physician
- Mentor, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35077720
- Practice address
- 7350 Industrial Park Blvd
Mentor, OH 44060-5318 - Phone
- (216) 732-9480
- NPI assigned
- Jan 3, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35077720 | OH | Primary |
Addresses
Primary practice location
7350 Industrial Park Blvd
Mentor, OH 44060-5318
Mailing address
PO Box 1500
Novi, MI 48376-1500
Phone (248) 324-0700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2190070 | Medicaid | OH | |
| 657406 | Other | OH | ANTHEM |
| 110201423 | Other | OH | RR MEDICARE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35077720 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Internal Medicine | Current | Accepting new patients |
| Vpa PC | Internal Medicine | Current | Accepting new patients |
| Vpa PC | Internal Medicine | Current | Accepting new patients |
| Vpa PC | Internal Medicine | Current | Accepting new patients |
| Vpa PC | Internal Medicine | Current | Accepting new patients |
| Vpa PC | Internal Medicine | Current | Accepting new patients |
Locations
4435 Aicholtz Rd
Ste 400
Cincinnati, OH 45245
Phone (513) 326-3007
355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155
3500 Massillon Rd
Ste 280
Green, OH 44685
Phone (330) 896-5651
7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480
3033 Kettering Blvd
Ste 100
Moraine, OH 45439
Phone (937) 293-2133
7206 Market St
Ste A
Youngstown, OH 44512
Phone (330) 726-3379
Organizations & group practices 6
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1487632253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1500",
"city": "NOVI",
"state": "MI",
"postal_code": "483761500",
"telephone_number": "248-324-0700",
"fax_number": "248-324-1477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7350 INDUSTRIAL PARK BLVD",
"city": "MENTOR",
"state": "OH",
"postal_code": "440605318",
"telephone_number": "216-732-9480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POCHIRAJU",
"first_name": "SITARAMA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35077720",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2190070",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "657406",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110201423",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.