Individual provider Active NPI

Kiran R Donthi, MD

  • Ophthalmology Physician
  • Cuyahoga Falls, OH
National Provider Identifier
1700833837
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35042811 Issued in OH
Practice address
275 Graham Rd
Ste 2
Cuyahoga Falls, OH 44223-2259
Phone
(330) 923-5123
Fax
(330) 923-6654
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35042811 OH Primary

Addresses

Primary practice location

275 Graham Rd
Ste 2
Cuyahoga Falls, OH 44223-2259

Mailing address

275 Graham Rd
Ste 2
Cuyahoga Falls, OH 44223-2259
Phone (330) 923-5123

Other identifiers 1

IdentifierTypeStateIssuer
0417454MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35042811OHMDOphthalmology Physician
35040344OHMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1700833837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 GRAHAM RD",
            "address_2": "STE 2",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232259",
            "telephone_number": "330-923-5123",
            "fax_number": "330-923-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 GRAHAM RD",
            "address_2": "STE 2",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232259",
            "telephone_number": "330-923-5123",
            "fax_number": "330-923-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONTHI",
        "first_name": "KIRAN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35042811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0417454",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.