Individual provider Active NPI

Susamma Pappachan, NP-C

  • Family Nurse Practitioner
  • Loveland, OH
National Provider Identifier
1558718197
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.19081-NP Issued in OH
Practice address
10582 Loveland Madeira Rd
Loveland, OH 45140-8962
Phone
(513) 677-2400
NPI assigned
May 23, 2016
Last updated
May 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.19081-NP OH Primary

Addresses

Primary practice location

10582 Loveland Madeira Rd
Loveland, OH 45140-8962

Mailing address

10582 Loveland Madeira Rd
Loveland, OH 45140-8962

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171013001153 OH Practitioner - Nurse Practitioner 9638444862 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COA.19081-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Community Health Services CurrentSince Jun 20, 2022 Accepting new patients
Christian Community Health Services Current Accepting new patients
Miami Valley Urgent Care LLC CurrentSince Dec 12, 2018 Accepting new patients
Christian Community Health Services CurrentSince Jun 20, 2022 Accepting new patients
CG Medical Associates Inc CurrentSince Oct 12, 2024 Accepting new patients
Christian Community Health Services Past Accepting new patients
Mercy Health Urgent Care LLC Past Accepting new patients

Locations

1712 Race St
Cincinnati, OH 45202
Phone (513) 381-2247

2170 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 381-2247

5 E Liberty St
Cincinnati, OH 45202
Phone (513) 241-1282

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

1010 Woodman Dr
Dayton, OH 45432
Phone (937) 252-5500

10450 New Haven Rd
Ste 3
Harrison, OH 45030
Phone (513) 367-2222

10582 Loveland Madeira Rd
Loveland, OH 45140
Phone (513) 677-2400

3187 Western Row Rd
Ste 116
Maineville, OH 45039
Phone (513) 770-4122

519 S Breiel Blvd
Middletown, OH 45044
Phone (513) 433-1288

2845 Progress Way
Wilmington, OH 45177
Phone (937) 366-1082

Interoperability endpoints

  • Direct secure messaging: susamma.pappachan.1@17081.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1558718197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10582 LOVELAND MADEIRA RD",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451408962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10582 LOVELAND MADEIRA RD",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451408962",
            "telephone_number": "513-677-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPACHAN",
        "first_name": "SUSAMMA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.19081-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, OH

Sources for this page

Verify at the official NPI Registry.