Individual provider Active NPI

Kalpana Vishnupad, M.D.

  • Psychiatry Physician
  • Springfield, OH
National Provider Identifier
1598755662
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35-073908 Issued in OH
Practice address
474 N Yellow Springs St
Springfield, OH 45504-2463
Phone
(937) 399-9500
Fax
(937) 342-4236
NPI assigned
Oct 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35-073908 OH Primary

Addresses

Primary practice location

474 N Yellow Springs St
Springfield, OH 45504-2463

Mailing address

474 N Yellow Springs St
Springfield, OH 45504-2463
Phone (937) 399-9500

Other identifiers 2

IdentifierTypeStateIssuer
000000004288OtherOHANTHEM
2052906MedicaidOH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040114000405 OH Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 5890696850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2501 E High St
Springfield, OH 45505-1410
Phone (937) 390-7980

474 N Yellow Springs St
Springfield, OH 45504-2463
Phone (937) 399-9500

Three Masonic Dr
Masonic Hthcare Inc
Springfield, OH 45504
Phone (937) 525-3021

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-073908OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Services for Clark Co Inc CurrentSince Jan 1, 2003 Accepting new patients
Kalpana Vishnupad, LLC CurrentSince Jan 1, 2006 Accepting new patients
Mental Health Services for Clark Co Inc Psychiatry Current Accepting new patients
Mt. Airy Development, LLC CurrentSince Oct 14, 2023 Accepting new patients
Haven Behavioral Services of Dayton, LLC Past Accepting new patients
Kettering Medical Center Past Accepting new patients
Mental Health Services for Clark Co Inc. Past Accepting new patients

Locations

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

1 Elizabeth Pl
Ste 10B
Dayton, OH 45417
Phone (937) 223-2183

1345 N Fountain Blvd
Springfield, OH 45504
Phone (937) 390-5023

474 N Yellow Springs St
Springfield, OH 45504
Phone (937) 399-9500

3 Masonic Dr
Springfield, OH 45504
Phone (937) 319-3473

2501 E High St
Springfield, OH 45505
Phone (937) 328-8700

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mental Health Services for Clark and Madison Counties IncSpringfield, OH, CCN 364040 Hospital W-2 Managing Employee Jul 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1598755662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 N YELLOW SPRINGS ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042463",
            "telephone_number": "937-399-9500",
            "fax_number": "937-342-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 N YELLOW SPRINGS ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042463",
            "telephone_number": "937-399-9500",
            "fax_number": "937-342-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISHNUPAD",
        "first_name": "KALPANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-073908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000004288",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2052906",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.