Active NPI
Rengachari Paul Deenadayalu, MD
- Pediatrics Physician
- Englewood, OH
National Provider Identifier
1619957545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35033785D
- Practice address
- 120 W Wenger Rd
Englewood, OH 45322 - Phone
- (937) 836-9921
- Fax
- (937) 836-1298
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35033785D | OH | Primary |
Addresses
Primary practice location
120 W Wenger Rd
Englewood, OH 45322
Mailing address
120 W Wenger Rd
Englewood, OH 45322
Phone (937) 836-9921
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0169302 | Medicaid | OH | |
| D35785 | Other | HUMANA | |
| 2080948 | Medicaid | OH | |
| 000000011356 | Other | OH | ANTHEM BCBS |
| 1220003 | Other | OH | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35033785D | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619957545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W WENGER RD",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "45322",
"telephone_number": "937-836-9921",
"fax_number": "937-836-1298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W WENGER RD",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "45322",
"telephone_number": "937-836-9921",
"fax_number": "937-836-1298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEENADAYALU",
"first_name": "RENGACHARI",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35033785D",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0169302",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "D35785",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2080948",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000011356",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1220003",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.