Individual provider Active NPI

Roy Vellanki, MD

  • Psychiatry Physician
  • Medina, OH
National Provider Identifier
1750465811
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35069031 Issued in OH
Practice address
807 E Washington St
Ste 150
Medina, OH 44256-3338
Phone
(330) 379-8145
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35069031 OH Primary

Addresses

Primary practice location

807 E Washington St
Ste 150
Medina, OH 44256-3338

Mailing address

525 E Market St
PO Box 2090
Akron, OH 44304-1619
Phone (330) 996-8603

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
I20050616000250 OH Practitioner - Psychiatry 6709820178 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appleseed Community Mental Health Center IncGroup PAC ID 1557269784, 13 clinicians

Practice addresses (Care Compare)

2233 Rocky LN
Ashland, OH 44805-4701
Phone (419) 281-3716

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35069031OHMDPsychiatry Physician
008247OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients
Coleman Professional Services, Inc. Psychiatry CurrentSince Apr 28, 2013 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Aug 20, 2001 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Aug 20, 2001 Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

5982 Rhodes Rd
Kent, OH 44240
Phone (330) 676-6875

3000 Erie St S
Massillon, OH 44646
Phone (330) 833-3135

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1750465811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "address_2": "PO BOX 2090",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041619",
            "telephone_number": "330-996-8603",
            "fax_number": "330-996-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 E WASHINGTON ST",
            "address_2": "STE 150",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563338",
            "telephone_number": "330-379-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLANKI",
        "first_name": "ROY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35069031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.