NPIMap

Individual provider Active NPI

Lily Grace Veeravalli

  • Family Medicine Physician
  • South Euclid, OH
National Provider Identifier
1528474426
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.131996 Issued in OH
Practice address
1611 S Green Rd Ste 160
South Euclid, OH 44121-6100
Phone
(216) 297-2084
NPI assigned
Jul 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.131996 OH Primary

Addresses

Primary practice location

1611 S Green Rd Ste 160
South Euclid, OH 44121-6100

Mailing address

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (518) 505-0633

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lilygraceveeravalli@glhs.allscriptsdirect.net
Direct Messaging Address lilygraceveeravalli@uhps.allscriptsdirect.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171212003261 OH Practitioner - Family Practice 5092018762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1611 S Green Rd
Suite 065
South Euclid, OH 44121-4129
Phone (216) 383-0100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Family Medicine CurrentSince Jan 1, 2018 Accepting new patients
University Primary Care Practices Inc CurrentSince Jan 1, 2018 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

1000 Auburn Dr
Ste 110
Beachwood, OH 44122
Phone (216) 285-5050

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

1611 S Green Rd
Ste 160
South Euclid, OH 44121
Phone (216) 297-2073

1611 S Green Rd
#65
South Euclid, OH 44121
Phone (216) 291-4050

Interoperability endpoints

  • Direct secure messaging: lveeravalli35944@ehrdirect.uhhospitals.org

Organizations & group practices 5

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 7

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": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1528474426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "518-505-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S GREEN RD STE 160",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441216100",
            "telephone_number": "216-297-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEERAVALLI",
        "first_name": "LILY GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.131996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lilygraceveeravalli@glhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "11100 Euclid Ave",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441061716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lilygraceveeravalli@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1611 S Green Rd Ste 160",
            "city": "South Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441216100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Euclid, OH

Sources for this page

Verify at the official NPI Registry.