Active NPI
Valsa Jose Mariappuram, M.D.
- Infectious Disease Physician
- Cleveland Heights, OH
National Provider Identifier
1720195811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 35-061070
- Practice address
- 10 Severance Cir
Cleveland Heights, OH 44118-1533 - Phone
- (216) 524-7377
- Fax
- (216) 297-2542
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 35-061070 | OH | Primary |
| Internal Medicine Physician | 207R00000X | 35-061070 | OH |
Addresses
Primary practice location
10 Severance Cir
Cleveland Heights, OH 44118-1533
Mailing address
1001 Lakeside Ave E
#1200
Cleveland, OH 44114-1158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0164816 | Medicaid | OH |
Other names 1
- Valsamma Jose Mariappuram
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | valsamariappuram@uhps.allscriptsdirect.net |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35-061070 | OH | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients |
Interoperability endpoints
- vmariappuram114090@direct.metrohealth.org
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1720195811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 LAKESIDE AVE E",
"address_2": "#1200",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441141158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SEVERANCE CIR",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441181533",
"telephone_number": "216-524-7377",
"fax_number": "216-297-2542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIAPPURAM",
"first_name": "VALSA",
"middle_name": "JOSE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "OH",
"license": "35-061070",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-061070",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0164816",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "valsamariappuram@uhps.allscriptsdirect.net",
"affiliation": "N",
"address_1": "1611 S Green Rd Ste 65",
"city": "South Euclid",
"state": "OH",
"country_code": "US",
"postal_code": "441214129",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "VALSAMMA",
"last_name": "MARIAPPURAM",
"middle_name": "JOSE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cleveland Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.