Individual provider Active NPI

Sridhar Guduri, M.D

  • Allergy & Immunology Physician
  • Dublin, OH
National Provider Identifier
1669436192
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35080871G Issued in OH
Practice address
7287 Sawmill Rd
Ste # 100
Dublin, OH 43016-9021
Phone
(614) 760-0099
Fax
(855) 656-7325
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 35080871G OH Primary

Addresses

Primary practice location

7287 Sawmill Rd
Ste # 100
Dublin, OH 43016-9021

Mailing address

9800 Shelbyville Rd Ste 220
Louisville, KY 40223-2992
Phone (502) 429-8585

Other identifiers 1

IdentifierTypeStateIssuer
2304812MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040615000184 OH Practitioner - Allergy/Immunology 1052395464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PSF PLLCGroup PAC ID 1557265543, 98 clinicians

Practice addresses (Care Compare)

1524 W Church St
Newark, OH 43055-1532
Phone (800) 999-1249

209 Rivers Edge Dr
Milford, OH 45150-2592
Phone (513) 274-2230

3 Health Dr
Chillicothe, OH 45601-8604
Phone (740) 773-8900

3915 Berry Leaf LN
Hilliard, OH 43026-3140
Phone (800) 999-1249

6275 E Broad St
Suite 100
Columbus, OH 43213-1504
Phone (800) 999-1249

8080 Ravines Edge CT
Suite 100
Columbus, OH 43235-5424
Phone (800) 999-1249

8501 Troy Pike
Suite 110
Huber Heights, OH 45424-1061
Phone (800) 999-1249

Hospital & facility affiliations

  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as group
Quality
86.03
Promoting interoperability
86
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35080871GOHMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PSF PLLC Allergy & Immunology CurrentSince Jan 20, 2021 Accepting new patients
Athens Medical Associates, LLC Past Accepting new patients
Athens Medical Associates, LLC Past Accepting new patients

Locations

9800 Shelbyville Rd
Ste 220
Louisville, KY 40223
Phone (502) 429-8585

2359 Lakeview Dr
Beavercreek, OH 45431
Phone (937) 431-0721

3 Health Dr
Chillicothe, OH 45601
Phone (614) 889-5001

99 N Brice Rd
Ste 140
Columbus, OH 43213
Phone (614) 863-0013

6275 E Broad St
Ste 100
Columbus, OH 43213
Phone (614) 759-4730

1816 Columbus Pike
Ste 70
Delaware, OH 43015
Phone (740) 371-9721

7287 Sawmill Rd
Ste 100
Dublin, OH 43016
Phone (614) 369-0664

3000 Meadow Pond Ct
Ste 500
Grove City, OH 43123
Phone (614) 505-7511

1500 E Main St
Lancaster, OH 43130
Phone (740) 654-3700

2194 Kings Mills Rd
Mason, OH 45040
Phone (513) 229-9090

209 Rivers Edge
Milford, OH 45150
Phone (513) 274-2230

1524 W Church St
Newark, OH 43055
Phone (740) 344-9484

477 Cooper Rd
Ste 460
Westerville, OH 43081
Phone (614) 745-8280

1166 Military Rd
Ste A
Zanesville, OH 43701
Phone (740) 788-1400

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1669436192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232992",
            "telephone_number": "502-429-8585",
            "fax_number": "855-656-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7287 SAWMILL RD",
            "address_2": "STE # 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169021",
            "telephone_number": "614-760-0099",
            "fax_number": "855-656-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDURI",
        "first_name": "SRIDHAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35080871G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2304812",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.