Individual provider Active NPI

Kowriah N Amirthalingam V, M.D.

  • Pulmonary Disease Physician
  • Youngstown, OH
National Provider Identifier
1699769968
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35.048771 Issued in OH
Practice address
4694 Belmont Ave Ste 2
Youngstown, OH 44505-1012
Phone
(330) 480-4080
Fax
(330) 480-4078
NPI assigned
Sep 1, 2005
Last updated
Oct 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 35048771A OH
Pulmonary Disease Physician 207RP1001X 35.048771 OH Primary

Addresses

Primary practice location

4694 Belmont Ave Ste 2
Youngstown, OH 44505-1012

Mailing address

4694 Belmont Ave Ste 2
Youngstown, OH 44505-1012
Phone (330) 480-4080

Other identifiers 2

IdentifierTypeStateIssuer
1699769968OtherOHNPI
0514143MedicaidOH

Other names 1

  • Dr. K N Amir Other name

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
I20051013000107 OH Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 1355366873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1950 Niles Cortland Rd NE
Suite 4
Warren, OH 44484-1077
Phone (330) 856-2545

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35048771AOHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Nov 11, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Pulmonary Disease CurrentSince Nov 11, 2022 Accepting new patients
Mercy Professional Care, LLC CurrentSince Sep 9, 2019 Accepting new patients

Locations

1330 Mercy Dr NW
Ste 319
Canton, OH 44708
Phone (330) 580-4706

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

7337 Caritas Cir NW
Ste 220
Massillon, OH 44646
Phone (330) 489-1362

7337 Caritas Cir NW
Ste 280
Massillon, OH 44646
Phone (330) 458-4180

1932 Niles Cortland Rd NE
Ste 10
Warren, OH 44484

1950 Niles Cortland Rd NE
Ste 4
Warren, OH 44484
Phone (330) 856-2545

1950 Niles Cortland Rd NE
Ste 7
Warren, OH 44484
Phone (330) 306-6947

1001 Covington St
Youngstown, OH 44510
Phone (330) 480-2616

4694 Belmont Ave
Ste 2
Youngstown, OH 44505
Phone (330) 480-4080

Interoperability endpoints

  • Direct secure messaging: kamirthalingam34739@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1699769968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4694 BELMONT AVE STE 2",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051012",
            "telephone_number": "330-480-4080",
            "fax_number": "330-480-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4694 BELMONT AVE STE 2",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051012",
            "telephone_number": "330-480-4080",
            "fax_number": "330-480-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRTHALINGAM",
        "first_name": "KOWRIAH",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "name_suffix": "V",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35048771A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.048771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699769968",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0514143",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "K",
            "last_name": "AMIR",
            "middle_name": "N",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.