Active NPI
Neetu Radhakrishnan, M.D.
- Hematology & Oncology Physician
- Hamilton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 35.094584
- Practice address
- 1010 Cereal Ave Ste 300
Hamilton, OH 45013-2789 - Phone
- (855) 500-2873
- Fax
- (937) 281-3913
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.094584 | OH | |
| Hematology & Oncology Physician | 207RH0003X | 243492 | NY | |
| Hematology & Oncology Physician | 207RH0003X | 35.094584 | OH | Primary |
Addresses
Primary practice location
1010 Cereal Ave Ste 300
Hamilton, OH 45013-2789
Mailing address
PO Box 636256
Central Credentialing
Cincinnati, OH 45263-6256
Phone (513) 585-5505
Other practice location 1
7675 Wellness Way
West Chester, OH 45069-2509
Phone (513) 475-8500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35.094584 | Other | OH | STATE LICENSE |
| 3084442 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nradhakrishnan475875@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
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
Care Compare profile
Medicare Care Compare- Specialty
- Hematology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Cereal Ave
Suite 300
Hamilton, OH 45013-2789
Phone (855) 500-2873
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751
630 Eaton Ave
Hamilton, OH 45013-2767
Phone (937) 395-8646
Hospital & facility affiliations
- Fort Hamilton Hughes Memorial Hospital
- Kettering Health Main Campus
- Kettering Health Dayton
- Kettering Health Miamisburg
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.094584 | OH | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Internal Medicine | Current | Accepting new patients |
Locations
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
1010 Cereal Ave
Ste 300
Hamilton, OH 45013
Phone (513) 751-2145
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
Internal Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- General Acute Care Hospital
- Miamisburg, OH
- NPI 1316966518
-
- General Acute Care Hospital
- Hamilton, OH
- NPI 1104867167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1508088147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636256",
"address_2": "CENTRAL CREDENTIALING",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636256",
"telephone_number": "513-585-5505",
"fax_number": "513-585-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 CEREAL AVE STE 300",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450132789",
"telephone_number": "855-500-2873",
"fax_number": "937-281-3913"
}
],
"practiceLocations": [
{
"address_1": "7675 Wellness Way",
"address_purpose": "LOCATION",
"city": "West Chester",
"state": "OH",
"postal_code": "450692509",
"country_code": "US",
"telephone_number": "513-475-8500",
"fax_number": "513-475-7858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADHAKRISHNAN",
"first_name": "NEETU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.094584",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "243492",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OH",
"license": "35.094584",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "35.094584",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3084442",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nradhakrishnan475875@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "1010 Cereal Ave Ste 300",
"city": "Hamilton",
"state": "OH",
"country_code": "US",
"postal_code": "450132789",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1010 Cereal Ave Ste 300",
"city": "Hamilton",
"state": "OH",
"country_code": "US",
"postal_code": "450132789",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.