Individual provider Active NPI

Venkatarama Reddy Gaddam, MD

  • Interventional Cardiology Physician
  • Marion, OH
National Provider Identifier
1710976733
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
35084203 Issued in OH
Practice address
278 Barks Rd W
Marion, OH 43302-7367
Phone
(740) 383-7980
Fax
(740) 383-3040
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35084203 OH
Interventional Cardiology Physician 207RI0011X 35084203 OH Primary
Interventional Cardiology Physician 207RI0011X 2571383 ID

Addresses

Primary practice location

278 Barks Rd W
Marion, OH 43302-7367

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other practice location 1

9000 N Main St Ste 101
Englewood, OH 45415-1184
Phone (937) 832-2425

Other practice location 2

4424 E Flamingo Ave Ste 300
Nampa, ID 83687-9306
Phone (208) 302-0200

Other identifiers 1

IdentifierTypeStateIssuer
2486797MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, ID, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040629001338 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 2567448491 Reassigns benefits to 4 organizations
I20251120002171 ID Practitioner - Interventional Cardiology 2567448491 Reassigns benefits to 1 organization
I20260401001074 IA Practitioner - Interventional Cardiology 2567448491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holzer Clinic LLCGroup PAC ID 5890606008, 266 clinicians
Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

100 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 446-5050

1134 N Main St
Suite 2500
Bellefontaine, OH 43311-2382
Phone (937) 592-9221

3025 W Cherry LN
Meridian, ID 83642-8531

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000

9000 N Main St
Suite 101
Englewood, OH 45415-1184
Phone (937) 223-4461

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.5 of 100Reported as apm
Quality
71.52
Promoting interoperability
95.57
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2571383IDMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Rutan Hospital CurrentSince May 1, 2025 Accepting new patients
Mary Rutan Hospital Current Accepting new patients
Premier Health Specialists Inc CurrentSince Mar 16, 2026 Accepting new patients
Mary Rutan Hospital CurrentSince May 1, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Cardiovascular Disease Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc Cardiovascular Disease CurrentSince Dec 1, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Dec 1, 2025 Accepting new patients
Premier Health Specialists Inc Cardiovascular Disease CurrentSince Mar 16, 2026 Accepting new patients
Marion Area Physicians LLC CurrentSince Nov 30, 2014 Accepting new patients
Mary Rutan Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Vasu Medical Group Inc Past Accepting new patients
Ohio Heart Group, Inc. Cardiovascular Disease Past Accepting new patients
Ohio Heart Group, Inc Cardiovascular Disease Past Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

4424 E Flamingo Ave
Ste 300
Nampa, ID 83687
Phone (208) 302-0200

1134 N Main St
Ste 2500
Bellefontaine, OH 43311
Phone (937) 292-3494

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

Dept L3652
Columbus, OH 43260

9000 N Main St
Ste 101
Englewood, OH 45415

278 Barks Rd W
Marion, OH 43302
Phone (740) 383-7080

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

1050 Delaware Ave
Marion, OH 43302
Phone (740) 383-7038

915 Michigan St
Ste 202
Sidney, OH 45365
Phone (937) 440-7665

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 8

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1710976733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 BARKS RD W",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027367",
            "telephone_number": "740-383-7980",
            "fax_number": "740-383-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 N Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151184",
            "country_code": "US",
            "telephone_number": "937-832-2425",
            "fax_number": "937-832-9804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4424 E Flamingo Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836879306",
            "country_code": "US",
            "telephone_number": "208-302-0200",
            "fax_number": "208-302-0255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADDAM",
        "first_name": "VENKATARAMA",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35084203",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35084203",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "ID",
            "license": "2571383",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2486797",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.