Individual provider Active NPI

Praveen Kumar P Giri, MD

  • Neurology Physician
  • Circleville, OH
National Provider Identifier
1730155920
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35057540G Issued in OH
Practice address
600 N Pickaway St
Suite 5 Noecker Building
Circleville, OH 43113-2409
Phone
(740) 420-8097
Fax
(740) 420-8098
NPI assigned
Feb 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35057540G OH Primary
Neurology Physician 2084N0400X 35057540G KS
Neurology Physician 2084N0400X 35057540G IL

Addresses

Primary practice location

600 N Pickaway St
Suite 5 Noecker Building
Circleville, OH 43113-2409

Mailing address

10731 Winchcombe Dr
Dublin, OH 43016-9404
Phone (614) 339-4207

Other identifiers 1

IdentifierTypeStateIssuer
0731560MedicaidOH

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
I20040601000345 OH Practitioner - Neurology 5698756039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyandot Memorial HospitalGroup PAC ID 1557340189, 70 clinicians

Practice addresses (Care Compare)

885 N Sandusky Ave
Upper Sandusky, OH 43351-1031
Phone 41929449912157

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35057540GILMDNeurology Physician
35057540GKSMDNeurology Physician
35057540GOHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyandot Memorial Hospital CurrentSince Mar 1, 2023 Accepting new patients
Wyandot Memorial Hospital CurrentSince Mar 1, 2023 Accepting new patients
Wyandot Memorial Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: pgiri1685355@direct.bsmhealth.org

Organizations & group practices 5

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 1

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730155920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10731 WINCHCOMBE DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169404",
            "telephone_number": "614-339-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N PICKAWAY ST",
            "address_2": "SUITE 5 NOECKER BUILDING",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431132409",
            "telephone_number": "740-420-8097",
            "fax_number": "740-420-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRI",
        "first_name": "PRAVEEN",
        "middle_name": "KUMAR P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35057540G",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "35057540G",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "35057540G",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0731560",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

Verify at the official NPI Registry.