Abhiram Malathesha Kondajji, DO, MS

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

34.015591 Issued in OH

Practice address

12300 McCracken Rd Ste 450
Garfield Heights, OH 44125-2914

Phone

(216) 518-3650

NPI assigned

Apr 1, 2017

Last updated

Nov 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General Surgery

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marymount Hospital Hospital, Garfield Heights, OH, CCN 360143
• Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
• South Pointe Hospital Hospital, Warrensville Heights, OH, CCN 360144
• Euclid Hospital Hospital, Euclid, OH, CCN 360082

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akondajji482056@direct.ccf.org

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.

• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment Care Compare group NPD
• Euclid Hospital Cleveland Clinic Health System

  dba cleveland clinic foundation

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• Marymount Hospital Inc

  dba Marymount Hospital

  • General Acute Care Hospital
  • Garfield Heights, OH
  • NPI 1942248737
  NPD (past)
• The Cleveland Clinic Foundation

  • Eyewear Supplier
  • Independence, OH
  • NPI 1740209816
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cleveland Clinic Health System - East Region

  dba South Pointe Hospital

  • General Acute Care Hospital
  • Warrensville Heights, OH
  • NPI 1235183542
  Care Compare affiliation
• Cleveland Clinic Health System - East Region

  dba Euclid Hospital

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1598719346
  Care Compare affiliation
• Cleveland Clinic Health System - East Region

  dba Hillcrest Hospital

  • General Acute Care Hospital
  • Mayfield HTS, OH
  • NPI 1902858152
  Care Compare affiliation
• Marymount Hospital Inc

  dba Marymount Hospital

  • General Acute Care Hospital
  • Garfield Heights, OH
  • NPI 1942248737
  Care Compare affiliation
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Care Compare affiliation

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

{
    "created_epoch": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1649702218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 MCCRACKEN RD STE 450",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252975",
            "telephone_number": "216-518-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 MCCRACKEN RD STE 450",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252914",
            "telephone_number": "216-518-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDAJJI",
        "first_name": "ABHIRAM",
        "middle_name": "MALATHESHA",
        "name_prefix": "Dr.",
        "credential": "DO, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-01",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34.015591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Christopher Knapp
• Tanisha Lynette Knighton
• Jasmine Kochheiser
• Ashley Suzanne Kochuyt
• Douglas O Kohler, MD
• Katarina Kostolanska, QMHA MA CMSMA
• Grant Kovacs, DO
• Kevin J. Kramer, DDS
• Brenda Ann Krul, M.S.S.A., L.I.S.W.
• Jay Kuhn, R.PH.

• Surgery Physician in Garfield Heights, OH
• Providers in Garfield Heights, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.