NPIMap

Individual provider Active NPI

Padma Vellanki, M.D.

  • Rheumatology Physician
  • Wooster, OH
National Provider Identifier
1578523932
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
35-06-9434 Issued in OH
Practice address
3727 Friendsville Rd
Suite 3
Wooster, OH 44691-7127
Phone
(330) 262-1500
Fax
(330) 262-2294
NPI assigned
Mar 27, 2006
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 35-06-9434 OH Primary

Addresses

Primary practice location

3727 Friendsville Rd
Suite 3
Wooster, OH 44691-7127

Mailing address

3727 Friendsville Rd Unit 3
Wooster, OH 44691-7127
Phone (330) 262-1500

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
I20060706000137 OH Practitioner - Rheumatology 1759393952 Reassigns benefits to 1 organization
Practice locations: Wooster, OH

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3727 Friendsville Rd
Unit 3
Wooster, OH 44691-7127
Phone 33026215003

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.37 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
87.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Jan 4, 2011 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Jan 4, 2011 Accepting new patients
The Arthritis Clinic LLC Rheumatology PastSince Jul 1, 2006 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

3000 Erie St S
Massillon, OH 44646
Phone (330) 833-3135

1756 Sagamore Rd
Northfield, OH 44067
Phone (330) 467-7131

Interoperability endpoints

  • Direct secure messaging: padmavellanki@woosterarthritis.ssdirect.aprima.com

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 4

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1578523932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 FRIENDSVILLE RD UNIT 3",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917127",
            "telephone_number": "330-262-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 FRIENDSVILLE RD",
            "address_2": "SUITE 3",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917127",
            "telephone_number": "330-262-1500",
            "fax_number": "330-262-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLANKI",
        "first_name": "PADMA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "35-06-9434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.