Anish Bhat Padiadpu, M.B.B.S. (EQUIVALENT

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

248490 Issued in OH

Practice address

9500 Euclid Ave
Cleveland, OH 44195-0001

Phone

(949) 439-7910

NPI assigned

Mar 30, 2018

Reactivated

Nov 15, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1659877652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E 13TH ST APT 11W",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441143217",
            "telephone_number": "949-439-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "949-439-7910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Avenue",
            "address_2": "Suite ET-1004",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33136",
            "country_code": "US",
            "telephone_number": "305-355-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADIADPU",
        "first_name": "ANISH",
        "middle_name": "BHAT",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S. (EQUIVALENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2019-07-03",
        "deactivation_date": "2018-11-01",
        "reactivation_date": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN27082",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "248490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0355160",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamya Packer
• Anna Gail Packis, PHARMD
• Ashley Pacsai
• Patricia L Paczos, P.A.C.
• Abigail Hunter Padgett, MD
• Ana Padilla
• Ruthvik Padival, MD
• Aparna Padiyar, MD
• Lisa Padro-Baire, RN
• Michael Joseph Padron

• Student in an Organized Health Care Education/Training Program in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Student in an Organized Health Care Education/Training Program in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.