Active NPI
Roy Vellanki, MD
- Psychiatry Physician
- Medina, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35069031
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35069031 | OH | MD | Psychiatry Physician |
| 008247 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Ohio Office of Budget and Management State Accounting | Current | Accepting new patients | |
| Coleman Professional Services, Inc. | Psychiatry | Current | Accepting new patients |
| State of Ohio Office of Budget and Management State Accounting | Current | Accepting new patients | |
| State of Ohio Office of Budget and Management State Accounting | Current | 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.
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- NPI 1790732576
-
- Psychiatric Hospital
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- NPI 1891769998
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.