Indira Nannapaneni, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35-07-7887 N Issued in OH

Practice address

2606 Wales Ave NW
Suite 100
Massillon, OH 44646-2340

Phone

(330) 834-4000

NPI assigned

May 25, 2006

Last updated

Jul 26, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Obstetrics/Gynecology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohio Physician Professional CorporationGroup PAC ID 2668406059, 143 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aultman Hospital Hospital, Canton, OH, CCN 360084
• Mercy Medical Center Hospital, Canton, OH, CCN 360070

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Ohio Physician Professional Corporation

  dba Surgical Associates of Canton

  • Hospitalist Physician
  • Canton, OH
  • NPI 1417016973
  Medicare reassignment Care Compare group NPD
• Premier Womens Care Inc

  • Obstetrics & Gynecology Physician
  • Massillon, OH
  • NPI 1992750343
  Medicare reassignment NPD Authorized official
• My Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Canton, OH
  • NPI 1588117147

  Obstetrics & Gynecology

  Medicare reassignment NPD
• My Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Canton, OH
  • NPI 1659146884

  Obstetrics & Gynecology

  NPD
• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation
• Cleveland Clinic Mercy Hospital

  dba Mercy Medical Center

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1366433195
  Care Compare affiliation

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1780630343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 WALES AVE NW",
            "address_2": "SUITE 100",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462340",
            "telephone_number": "330-834-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 WALES AVE NW",
            "address_2": "SUITE 100",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462340",
            "telephone_number": "330-834-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANNAPANENI",
        "first_name": "INDIRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-07-7887 N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2185291",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "PR9344061",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordyn Nichole Myers
• Arianna Shania-Theresa Myrie, LPN
• Jennifer Louise Naegeli
• Nagaprasad Nagajothi, M.D.
• Susan F Nagy, LDO
• Shalisa Nash-Simmons, LPN
• Molly Marie Naugle, LPN
• Kathryn Navarro, M.D.
• Michele Marie Neace
• Timothy Neal

• Obstetrics & Gynecology Physician in Massillon, OH
• Providers in Massillon, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.

Verify at the official NPI Registry.