Individual provider Active NPI

Dakshin Gangadharamurthy, MD

  • Cardiovascular Disease Physician
  • Washington Township, OH
National Provider Identifier
1609005578
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35.138598 Issued in OH
Practice address
7677 Yankee Street
Suite 140
Washington Township, OH 45459
Phone
(937) 424-0012
Fax
(937) 424-0077
NPI assigned
Jul 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35.138598 OH Primary

Addresses

Primary practice location

7677 Yankee Street
Suite 140
Washington Township, OH 45459

Mailing address

7677 Yankee Street
Suite 140
Washington Township, OH 45459
Phone (937) 424-0012

Other practice location 1

1001 Belmont Ave
Youngstown, OH 44504-1003
Phone (330) 747-6446

Other practice location 2

425 W 5th St
East Liverpool, OH 43920-2405
Phone (330) 386-3672

Other practice location 3

627 Eastland Ave SE Ste 302
Warren, OH 44484-4501
Phone (330) 841-4535

Other names 1

  • Dakshinamurthy Gangadharamurthy Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dgangadharamurthy805880@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

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
I20220816001078 OH Practitioner - Cardiovascular Disease (Cardiology) 9133398357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

715 E Western Reserve Rd
Poland, OH 44514-3358
Phone (330) 726-3204

7677 Yankee St
Suite 140
Dayton, OH 45459-3475
Phone (866) 224-9472

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.138598OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC Cardiovascular Disease CurrentSince May 25, 2024 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince May 25, 2024 Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

627 Eastland Ave SE
Ste 302
Warren, OH 44484
Phone (330) 841-4975

715 E Western Reserve Rd
Youngstown, OH 44514
Phone (330) 726-3204

1001 Belmont Ave
Youngstown, OH 44504
Phone (330) 747-1106

Interoperability endpoints

  • Direct secure messaging: dgangadharamurthy2653967@direct.bsmhealth.org

Organizations & group practices 3

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 6

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1609005578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7677 YANKEE STREET",
            "address_2": "SUITE 140",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-424-0012",
            "fax_number": "937-424-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7677 YANKEE STREET",
            "address_2": "SUITE 140",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-424-0012",
            "fax_number": "937-424-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041003",
            "country_code": "US",
            "telephone_number": "330-747-6446",
            "fax_number": "330-747-6843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 W 5th St",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439202405",
            "country_code": "US",
            "telephone_number": "330-386-3672",
            "fax_number": "330-386-3674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "627 Eastland Ave SE Ste 302",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444844501",
            "country_code": "US",
            "telephone_number": "330-841-4535",
            "fax_number": "330-395-1721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANGADHARAMURTHY",
        "first_name": "DAKSHIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-13",
        "last_updated": "2024-12-04",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.138598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgangadharamurthy805880@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "540 Lincoln Park Blvd Ste 200",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454296403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "540 Lincoln Park Blvd Ste 200",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454296403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAKSHINAMURTHY",
            "last_name": "GANGADHARAMURTHY",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington Township, OH

Sources for this page

Verify at the official NPI Registry.