Individual provider Active NPI

Srividya Viswanathan, M.D

  • Internal Medicine Physician
  • Mansfield, OH
National Provider Identifier
1699868877
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35078517 Issued in OH
Practice address
1485 Royal Oak TRL
Mansfield, OH 44906-3634
Phone
(419) 756-2310
NPI assigned
Oct 2, 2006
Last updated
Sep 22, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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 35078517 OH Primary

Addresses

Primary practice location

1485 Royal Oak TRL
Mansfield, OH 44906-3634

Mailing address

1485 Royal Oak TRL
Mansfield, OH 44906-3634
Phone (419) 756-2310

Other names 1

  • Dr. Srividya Venkatakrishnan 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
I20110726000947 OH Practitioner - Hospice/Palliative CarePractitioner - Internal MedicinePractitioner - Hematology/Oncology 7810165412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Hematology/Oncology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

800 McConnell Rd
Columbus, OH 43214-3463
Phone (614) 533-6001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078517OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jan 1, 2016 Accepting new patients
Ohiohealth Corporation Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Medcentral Professional Association Inc. Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

800 McConnell Dr
Columbus, OH 43214
Phone (614) 533-6297

275 Cline Ave
Mansfield, OH 44907
Phone (419) 756-1230

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1699868877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 ROYAL OAK TRL",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063634",
            "telephone_number": "419-756-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 ROYAL OAK TRL",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063634",
            "telephone_number": "419-756-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISWANATHAN",
        "first_name": "SRIVIDYA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35078517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SRIVIDYA",
            "last_name": "VENKATAKRISHNAN",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.