Individual provider Active NPI

Amirtha Varshana Owens, D.O

  • Diagnostic Radiology Physician
  • Euclid, OH
National Provider Identifier
1568838720
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34.015228 Issued in OH
Practice address
18901 Lake Shore Blvd
Euclid, OH 44119-1078
Phone
(216) 531-9000
NPI assigned
Aug 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 34.015228 OH Primary

Addresses

Primary practice location

18901 Lake Shore Blvd
Euclid, OH 44119-1078

Mailing address

25875 Science Park Dr # Ac116
Beachwood, OH 44122-7304
Phone (216) 448-0218

Other practice location 1

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-4016

Other practice location 2

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210802003190 OH Practitioner - Diagnostic Radiology 1254628472 Reassigns benefits to 6 organizations
I20240122001134 MI Practitioner - Diagnostic Radiology 1254628472 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Diagnostic Radiology CurrentSince Apr 21, 2024 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Jan 31, 2024 Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology Current Accepting new patients
Southern Delaware Imaging Assoc Diagnostic Radiology CurrentSince Mar 11, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology CurrentSince Apr 21, 2024 Accepting new patients
Ascension Borgess Lee Hospital Current Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Apr 21, 2024 Accepting new patients
Fred Smeltzer MD & Associates Inc Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Jan 28, 2024 Accepting new patients
Ozarks Medical Center Diagnostic Radiology Past Accepting new patients
Northside Imaging LLC Diagnostic Radiology PastSince Jul 17, 2021 Accepting new patients

Locations

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1568838720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25875 SCIENCE PARK DR # AC116",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227304",
            "telephone_number": "216-448-0218",
            "fax_number": "216-448-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18901 LAKE SHORE BLVD",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441191078",
            "telephone_number": "216-531-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Metrohealth Dr",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441091900",
            "country_code": "US",
            "telephone_number": "216-778-4016",
            "fax_number": "216-778-4376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11995 Singletree Ln Ste 500",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553445349",
            "country_code": "US",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "AMIRTHA",
        "middle_name": "VARSHANA",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34.015228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

Verify at the official NPI Registry.