Active NPI
General & Vascular Surgical Specialists, Inc.
- Surgery Physician
- Cincinnati, OH
National Provider Identifier
1831270818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- GENERAL & VASCULAR SURGICAL SPECIALISTS, INC.
- Practice address
- 11155 Kenwood Rd
Suite 6C
Cincinnati, OH 45242-1845 - Phone
- (513) 385-1919
- Fax
- (513) 385-6208
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kris Mahalingam, MD
- Title
- President
- Phone
- (513) 385-1919
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Vascular Surgery Physician | 2086S0129X |
Addresses
Primary practice location
11155 Kenwood Rd
Suite 6C
Cincinnati, OH 45242-1845
Mailing address
11155 Kenwood Rd
Suite 6C
Cincinnati, OH 45242-1845
Phone (513) 385-1919
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0067360 | Other | OH | AETNA |
| 0741620 | Medicaid | OH | |
| 65931149 | Medicaid | KY | |
| 1368191 | Other | OH | UMWA |
| 000000006345 | Other | OH | ANTHEM |
| 1780184 | Other | OH | UNITED HEALTHCARE |
National Provider Directory
National Provider DirectoryLocations
11155 Kenwood Rd
Ste 6C
Blue Ash, OH 45242
2841 Boudinot Ave
Ste 206
Cincinnati, OH 45238
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1831270818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11155 KENWOOD RD",
"address_2": "SUITE 6C",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452421845",
"telephone_number": "513-385-1919",
"fax_number": "513-385-6208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11155 KENWOOD RD",
"address_2": "SUITE 6C",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452421845",
"telephone_number": "513-385-1919",
"fax_number": "513-385-6208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENERAL & VASCULAR SURGICAL SPECIALISTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "MAHALINGAM",
"authorized_official_first_name": "KRIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-385-1919",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0067360",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0741620",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65931149",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1368191",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000006345",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1780184",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.