Individual provider Active NPI

Himabindu Mikkilineni, M.D.

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1780837526
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.120866 Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-1702
Phone
(216) 448-0219
NPI assigned
Oct 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 57-015412 OH
Diagnostic Radiology Physician 2085R0202X 35.120866 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-1702

Mailing address

25875 Science Park Dr # Ac116
Beachwood, OH 44122-7304
Phone (216) 448-0219

Other practice location 1

2600 Sixth St SW
Canton, OH 44710-1702
Phone (330) 363-5434

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
I20130520000292 OH Practitioner - Diagnostic Radiology 6901043561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinic Medical Services CompanyGroup PAC ID 5698674653, 201 clinicians

Practice addresses (Care Compare)

2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-2262

4125 Medina Rd
Akron, OH 44333-2483
Phone (330) 665-8000

Hospital & facility affiliations

  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57-015412OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Medical Services Company LLC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients

Locations (25 of 44)

4125 Medina Rd
Akron, OH 44333
Phone (330) 375-8104

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

33355 Health Campus Blvd
Avon, OH 44011
Phone (330) 670-0460

450 Avon Belden Rd
Avon Lake, OH 44012
Phone (440) 930-6800

3025 Science Park Dr
Beachwood, OH 44122
Phone (216) 445-6400

25875 Science Park Dr
#116
Beachwood, OH 44122
Phone (216) 402-9593

2001 E Royalton Rd
Broadview Hts, OH 44147
Phone (440) 717-5800

17747 Chillicothe Rd
Ste 100
Chagrin Falls, OH 44023
Phone (440) 543-8855

551 Washington St
Chagrin Falls, OH 44022
Phone (440) 893-9393

18200 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7088

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

354 W Main Rd
Conneaut, OH 44030
Phone (440) 599-2262

4389 Medina Rd
Copley, OH 44321
Phone (234) 678-9332

13944 Euclid Ave
East Cleveland, OH 44112
Phone (216) 431-4131

303 Chestnut Commons Dr
Elyria, OH 44035
Phone (440) 204-7823

99 Northline Cir
Ste 100
Euclid, OH 44119
Phone (216) 692-7750

18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000

20455 Lorain Rd
Ste 301
Fairview Park, OH 44126
Phone (216) 476-6961

12000 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 261-7970

1940 Town Park Blvd
Green, OH 44685
Phone (330) 869-5010

3593 S Arlington Rd
Ste D
Green, OH 44312
Phone (234) 867-6600

5001 Rockside Rd
Independence, OH 44131

234 N Chestnut St
Jefferson, OH 44047
Phone (440) 576-8933

Interoperability endpoints

  • Direct secure messaging: hmikkilinenimd78042@direct.ccf.org

Organizations & group practices 3

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.

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": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780837526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25875 SCIENCE PARK DR # AC116",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227304",
            "telephone_number": "216-448-0219",
            "fax_number": "216-448-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441951702",
            "telephone_number": "216-448-0219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Sixth St SW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447101702",
            "country_code": "US",
            "telephone_number": "330-363-5434",
            "fax_number": "330-580-5513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKKILINENI",
        "first_name": "HIMABINDU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "57-015412",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.120866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.