Kavitha Nidamanuri, MD
Individual provider Active NPI Cardiovascular Disease Physician · Canton, OH
NPI 1528107182 · NPPES record last updated Aug 30, 2012
Key facts
- NPI
- 1528107182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 35097795 (OH)
- Practice address
- 2600 6TH St SW
Suite A2-710
Canton, OH 44710-1702 - Phone
- (330) 454-8076
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 38
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orrville Hospital Foundation
Alliance Community Hospital
Triad Health Services LLC
Aultman Deuble Heart and Vascular Hospital, LLC
Aultman Hospital
The Union Hospital Association
Health Professionals of Holmes County, Inc.
Practice addresses (Care Compare)
10724 State Route 212 NE
Bolivar, OH 44612-8740
Phone (330) 874-7165
200 E State St
Alliance, OH 44601-4936
Phone (330) 596-6000
250 Debartolo PL
Suite 2750
Youngstown, OH 44512-6026
Phone (330) 758-7703
2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 454-8076
2600 6TH St SW
Canton, OH 44710-1799
603 Monroe St
Dover, OH 44622-2046
Phone (330) 364-8889
659 Boulevard St
Dover, OH 44622-2026
Phone (330) 343-3311
981 Wooster Rd
Millersburg, OH 44654-1536
Phone (330) 674-1015
Hospital & facility affiliations
- Aultman Hospital
- Union Hospital
- Pomerene Hospital
- Aultman Orrville Hospital
- Pomerene Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.19 of 100
- Quality
- 63.25
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111005000526 | OH | Practitioner - Cardiovascular Disease (Cardiology) |
3678642436 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235523 | MA | MD | Internal Medicine Physician |
| 35097795 | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aultman Deuble Heart & Vascular Hospital, LLC | Cardiovascular Disease | Current |
Accepting new patients |
| Alliance Community Hospital | Current |
Accepting new patients | |
| Aultman Hospital | Current |
Accepting new patients | |
| Orrville Hospital Foundation | Current |
Accepting new patients | |
| Aultman Hospital | Current | Accepting new patients | |
| Health Professionals of Holmes County, Inc | Current |
Accepting new patients | |
| The Union Hospital Association | Current |
Accepting new patients | |
| Orrville Hospital Foundation | Current |
Accepting new patients | |
| Canton Aultman Emergency Physicians Inc | Current | Accepting new patients | |
| Triad Health Services, LLC | Internal Medicine | Current |
Accepting new patients |
| The Union Hospital Association | Current |
Accepting new patients | |
| Health Professionals of Holmes County, Inc | Current |
Accepting new patients | |
| Orrville Hospital Foundation | Past | Accepting new patients | |
| Aultman Hospital | Past | Accepting new patients | |
| Cardiovascular Consultants, Inc. | Past | Accepting new patients | |
| Baystate Affiliated Practice Organization | Internal Medicine | Past | Accepting new patients |
| The Surgery Center at Southwoods, LLC | Past | Accepting new patients | |
| Orrville Hospital Foundation | Past | Accepting new patients | |
| Orrville Hospital Foundation | Past | Accepting new patients | |
| Baystate Medical Practices, Inc | Internal Medicine | Past | Accepting new patients |
| Health Professionals of Holmes County, Inc | Past | Accepting new patients | |
| Cardiovascular Consultants, Inc. | Cardiovascular Disease | Past | Accepting new patients |
Locations
200 E State St
Alliance, OH 44601
Phone (330) 596-6000
10724 State Route 212 NE
Bolivar, OH 44612
Phone (330) 874-7165
2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180
2600 6th St SW
#A2
Canton, OH 44710
Phone (330) 363-1342
2600 6th St SW
Ste A2800
Canton, OH 44710
2600 6th St SW
Ste 710
Canton, OH 44710
2600 6th St SW
Ste A2710
Canton, OH 44710
Phone (330) 429-5656
1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919
1523 Walnut St
Coshocton, OH 43812
Phone (740) 255-5189
603 Monroe St
Ste 101
Dover, OH 44622
420 S Reeves Ave
Ste B
Dover, OH 44622
Phone (330) 364-4461
603 Monroe St
Dover, OH 44622
Phone (330) 364-8889
659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311
400 Collier Dr
Ste C
Doylestown, OH 44230
Phone (330) 684-2015
2037 Wales Ave NW
Ste 120
Massillon, OH 44646
1261 Wooster Rd
Ste 110
Millersburg, OH 44654
981 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-1015
1168 Alliance Rd NW
Minerva, OH 44657
Phone (330) 868-3711
6307 E State Rd
Newcomerstown, OH 43832
Phone (740) 498-5515
6046 Whipple Ave NW
North Canton, OH 44720
Phone (330) 433-1200
6046 Whipple Ave NW
#B
North Canton, OH 44720
Phone (330) 491-1670
832 S Main St
Orrville, OH 44667
Phone (330) 456-2695
7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480
250 Debartolo Pl
Ste 2750
Youngstown, OH 44512
Phone (330) 758-7703
100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828
Interoperability endpoints
- kavitha.nidamanuri@direct.aultman.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 235523 | MA | |
| Cardiovascular Disease Physician | 207RC0000X | 35097795 | OH | Yes |
Addresses
Primary practice location
2600 6TH St SW
Suite A2-710
Canton, OH 44710-1702
Mailing address
2600 6TH St SW Ste A2-710
Canton, OH 44710-1702
Phone (330) 454-8076
Other names
- Kavitha Manne
Other providers in Canton, OH
- Tara Lynn Nichols
- Lauren Amy Nicholson
- Lexie Marie Nicholson
- Shayna Nickel
- Amber Nickol
- Karol S Niehaus
- Amy Nieporte
- Kaylah Nieschwitz
- Nina Kucyk, PSYD
- Kali Michelle Nissen
All providers in Canton, OH · Cardiovascular Disease Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.