Organization Active NPI

General & Vascular Surgical Specialists, Inc.

  • Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1831270818
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0067360OtherOHAETNA
0741620MedicaidOH
65931149MedicaidKY
1368191OtherOHUMWA
000000006345OtherOHANTHEM
1780184OtherOHUNITED HEALTHCARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.