Individual provider Active NPI

Vadhya Elivert, D.O

  • Family Medicine Physician
  • Maple Heights, OH
National Provider Identifier
1649531997
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2024-02013 Issued in NC
Practice address
5264 Lee Rd Ste 108
Maple Heights, OH 44137-1232
Phone
(216) 294-4440
Fax
(216) 249-6032
NPI assigned
Jun 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.02106 OH
Family Medicine Physician 207Q00000X 2024-02013 NC Primary

Addresses

Primary practice location

5264 Lee Rd Ste 108
Maple Heights, OH 44137-1232

Mailing address

5264 Lee Rd Ste 108
Maple Heights, OH 44137-1232
Phone (216) 294-4440

Other practice location 1

1307 Avon St
Fayetteville, NC 28304-4423
Phone (910) 323-1718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250408000111 NC Practitioner - Family Practice 6204129828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1307 Avon St
Fayetteville, NC 28304-4423
Phone (910) 323-1718

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.02106OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC Current Accepting new patients
Cape Fear Valley Health Medical Group LLC Family Medicine CurrentSince Mar 15, 2025 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Feb 6, 2025 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Mar 15, 2025 Accepting new patients
Cumberland County Hospital System Inc Family Medicine CurrentSince Feb 6, 2025 Accepting new patients
Steadyhand Medical Group FL PA Past Accepting new patients

Locations

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1307 Avon St
Fayetteville, NC 28304
Phone (910) 323-1718

Interoperability endpoints

  • Direct secure messaging: velivert132921@capefearvalley.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1649531997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5264 LEE RD STE 108",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441371232",
            "telephone_number": "216-294-4440",
            "fax_number": "216-249-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5264 LEE RD STE 108",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441371232",
            "telephone_number": "216-294-4440",
            "fax_number": "216-249-6032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1307 Avon St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044423",
            "country_code": "US",
            "telephone_number": "910-323-1718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIVERT",
        "first_name": "VADHYA",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.02106",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2024-02013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Heights, OH

Sources for this page

Verify at the official NPI Registry.