NPIMap

Individual provider Active NPI

Meyyappan Somasundaram, MD

  • Internal Medicine Physician
  • Independence, OH
National Provider Identifier
1831188168
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35073711 Issued in OH
Practice address
6701 Rockside Rd
Suite 100
Independence, OH 44131-2358
Phone
(216) 328-0418
Fax
(216) 328-0847
NPI assigned
Oct 19, 2005
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35073711 OH Primary

Addresses

Primary practice location

6701 Rockside Rd
Suite 100
Independence, OH 44131-2358

Mailing address

PO Box 932127
Cleveland, OH 44193-0008
Phone (216) 328-0418

Other identifiers 2

IdentifierTypeStateIssuer
110178488OtherOHRR MEDICARE
2060844MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address directrockside@cleveland.ipsmso.com Outreach Professional Services Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108000274 OH Practitioner - Internal Medicine 7315846375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6701 Rockside Rd
Suite 365
Independence, OH 44131-2316
Phone (216) 363-2556

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35073711OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Professional Services, Inc CurrentSince Sep 1, 2003 Accepting new patients
Outreach Professional Services Inc Internal Medicine CurrentSince Sep 1, 2003 Accepting new patients
Northern Ohio Medical Specialists LLC Internal Medicine CurrentSince Nov 16, 2022 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Nov 16, 2022 Accepting new patients
Larchwood Care LLC Past Accepting new patients
Select Specialty Hospital - Cleveland, LLC Past Accepting new patients
Regina Health Center Past Accepting new patients
St Augustine Manor Past Accepting new patients
Regency Hospital of North Central Ohio, LLC Past Accepting new patients

Locations

2351 E 22nd St
Fl 7
Cleveland, OH 44115
Phone (216) 592-2175

2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444

7580 Northcliff Ave
Ste 500
Cleveland, OH 44144
Phone (216) 387-9896

6701 Rockside Rd
Ste 100
Independence, OH 44131
Phone (216) 328-0418

6701 Rockside Rd
Ste 365
Independence, OH 44131
Phone (216) 883-6656

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

Interoperability endpoints

  • Direct secure messaging: msomasundaram222851@ehrdirect.uhhospitals.org
  • Direct secure messaging: smeyyappan29525@nomshealthcare.direct-ci.com

Organizations & group practices 9

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1831188168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932127",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930008",
            "telephone_number": "216-328-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 ROCKSIDE RD",
            "address_2": "SUITE 100",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312358",
            "telephone_number": "216-328-0418",
            "fax_number": "216-328-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMASUNDARAM",
        "first_name": "MEYYAPPAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35073711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110178488",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2060844",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "directrockside@cleveland.ipsmso.com",
            "affiliation": "Y",
            "affiliationName": "Outreach Professional Services Inc",
            "address_1": "6701 Rockside Rd",
            "address_2": "Suite 100",
            "city": "Independence",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441312358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.