NPIMap

Individual provider Active NPI

Chandrasekar Vaidyanathan, M.D.

  • Internal Medicine Physician
  • Batavia, OH
National Provider Identifier
1659373553
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-07-0962V Issued in OH
Practice address
2055 Hospital Dr
Suite 300
Batavia, OH 45103-1978
Phone
(513) 732-0663
Fax
(513) 732-1232
NPI assigned
Aug 11, 2005
Last updated
Jun 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-07-0962V OH Primary

Addresses

Primary practice location

2055 Hospital Dr
Suite 300
Batavia, OH 45103-1978

Mailing address

2055 Hospital Dr
Suite 300
Batavia, OH 45103-1978
Phone (513) 732-0663

Other identifiers 8

IdentifierTypeStateIssuer
0422493MedicaidOH
5864282OtherAETNA
000000216575OtherOHANTHEM
311715108032OtherOHCARESOURCE
70962OtherOHHUMANA
0403552OtherUNITED HEALTHCARE
478030OtherPHCS
110235460OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071004000545 OH Practitioner - Internal Medicine 3476648585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clermont Internists Associates IncGroup PAC ID 6901885847, 18 clinicians

Practice addresses (Care Compare)

2055 Hospital Dr
Suite 300
Batavia, OH 45103-1981
Phone (513) 732-0663

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clermont Internists Associates, Inc. Internal Medicine CurrentSince Aug 20, 2007 Accepting new patients
Ohio Heart and Vascular Center, Inc Past Accepting new patients
Cincinnati Primary Care Associates Internal Medicine Past Accepting new patients
Mercy Health - Clermont Hospital LLC Past Accepting new patients

Locations

2055 Hospital Dr
Ste 300
Batavia, OH 45103
Phone (513) 732-0663

Interoperability endpoints

  • Direct secure messaging: cvaidyanathan18529@direct.bsmhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 10

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1659373553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 HOSPITAL DR",
            "address_2": "SUITE 300",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031978",
            "telephone_number": "513-732-0663",
            "fax_number": "513-732-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 HOSPITAL DR",
            "address_2": "SUITE 300",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031978",
            "telephone_number": "513-732-0663",
            "fax_number": "513-732-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIDYANATHAN",
        "first_name": "CHANDRASEKAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-07-0962V",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0422493",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5864282",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000216575",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "311715108032",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "70962",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0403552",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "478030",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110235460",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, OH

Sources for this page

Verify at the official NPI Registry.