NPIMap

Individual provider Active NPI

Ashok Poluri, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Middletown, OH
National Provider Identifier
1487814000
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35-124217 Issued in OH
Practice address
6730 Roosevelt Ave Ste 303
Middletown, OH 45005-0017
Phone
(513) 874-0486
Fax
(513) 280-8868
NPI assigned
Jun 17, 2008
Last updated
Jul 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 47220 KY
Physical Medicine & Rehabilitation Physician 208100000X 35-124217 OH Primary
Hospitalist Physician 208M00000X 35-124217 OH
Hospitalist Physician 208M00000X 47220 KY
Pain Medicine Physician 208VP0000X 35-124217 OH
Pain Medicine Physician 208VP0000X 47220 KY

Addresses

Primary practice location

6730 Roosevelt Ave Ste 303
Middletown, OH 45005-0017

Mailing address

PO Box 229
Miamisburg, OH 45343-0229
Phone (513) 874-0486

Other identifiers 2

IdentifierTypeStateIssuer
0110987MedicaidOH
7100319030MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140923001303 OH Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 3577630839 Reassigns benefits to 1 organization
I20150108000956 KY Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 3577630839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medicine Inpatient Group LLCGroup PAC ID 3577645340, 39 clinicians

Practice addresses (Care Compare)

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

6975 Burlington Pike
Florence, KY 41042-1618
Phone (513) 605-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.76 of 100Reported as individual
Quality
64.78
Improvement activities
0
Cost
70.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47220KYMDHospitalist Physician
35-124217OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coney Island Medical Practice Plan, P.C. Past Accepting new patients
Encompass Health Rehabilitation Hospital of Cincinnati, LLC Past Accepting new patients
Atrium Medical Center Past Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 12

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1487814000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453430229",
            "telephone_number": "513-874-0486",
            "fax_number": "513-280-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 ROOSEVELT AVE STE 303",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450050017",
            "telephone_number": "513-874-0486",
            "fax_number": "513-280-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLURI",
        "first_name": "ASHOK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "47220",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35-124217",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35-124217",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "47220",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "35-124217",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "KY",
            "license": "47220",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110987",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100319030",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.