Individual provider Active NPI

Reema Dedania, M.D.

  • Forensic Psychiatry Physician
  • Cleveland, OH
National Provider Identifier
1689051609
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
84456 Issued in GA
Practice address
1110 Euclid Ave
Cleveland, OH 44115-1623
Phone
(216) 844-3658
NPI assigned
Apr 28, 2015
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Forensic Psychiatry Physician 2084F0202X 84456 GA Primary
Psychiatry Physician 2084P0800X 58991 TN

Addresses

Primary practice location

1110 Euclid Ave
Cleveland, OH 44115-1623

Mailing address

1110 Euclid Ave
Cleveland, OH 44115-1623
Phone (216) 844-3658

Other practice location 1

1601 23rd Ave S
Room 3104
Nashville, TN 37212-3133
Phone (615) 327-7136

Other practice location 2

4230 Harding Pike Ste 707
Nashville, TN 37205
Phone (844) 615-3221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20220721002447 GA Practitioner - Psychiatry 3779873997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Creighton University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84456GAMDForensic Psychiatry Physician
58991TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Current Accepting new patients
Emory Medical Care Foundation Inc Forensic Psychiatry CurrentSince Aug 15, 2022 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Aug 15, 2022 Accepting new patients
The Emory Clinic Inc CurrentSince Aug 15, 2022 Accepting new patients
The Metrohealth System Current Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

341 Ponce de Leon Ave NE
Atlanta, GA 30308
Phone (404) 616-2440

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

Interoperability endpoints

  • Direct secure messaging: rdedania209794@direct.metrohealth.org

Organizations & group practices 5

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 1

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": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1689051609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151623",
            "telephone_number": "216-844-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151623",
            "telephone_number": "216-844-3658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 23rd Ave S",
            "address_2": "Room 3104",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372123133",
            "country_code": "US",
            "telephone_number": "615-327-7136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4230 Harding Pike Ste 707",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "37205",
            "country_code": "US",
            "telephone_number": "844-615-3221",
            "fax_number": "615-760-3991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEDANIA",
        "first_name": "REEMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "GA",
            "license": "84456",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "58991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.