Individual provider Active NPI

Sangita Ajay Padmalwar, MPAS, PA-C

  • Physician Assistant
  • Lancaster, OH
National Provider Identifier
1861744732
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003597RX Issued in OH
Practice address
170 Granville Pike
Lancaster, OH 43130
Phone
(740) 653-2500
Fax
(740) 653-2552
NPI assigned
Oct 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CS-0011506 DE
Physician Assistant 363A00000X 50.003597RX OH Primary

Addresses

Primary practice location

170 Granville Pike
Lancaster, OH 43130

Mailing address

615 Elsinore PL Ste 200
Cincinnati, OH 45202-1457
Phone (513) 834-7063

Other practice location 1

501 W. Market St.
Ste 105
Georgetown, DE 19947
Phone (833) 510-4357

Other identifiers 1

IdentifierTypeStateIssuer
0127859MedicaidOH

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150810002288 OH Practitioner - Physician Assistant 8022260272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightview LLCGroup PAC ID 9032426044, 117 clinicians

Practice addresses (Care Compare)

3768 E Main St
Whitehall, OH 43213-2925
Phone (833) 510-4357

6527 Colerain Ave
Cincinnati, OH 45239-5537
Phone (833) 510-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
CS-0011506DEMDPhysician Assistant
50.003597RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview, LLC CurrentSince Dec 27, 2022 Accepting new patients
Brightview LLC CurrentSince Jul 26, 2021 Accepting new patients

Locations

6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000

615 Elsinore Pl
Ste 200
Cincinnati, OH 45202
Phone (513) 639-2800

5815 Westbourne Ave
Columbus, OH 43213
Phone (614) 751-1871

115 S Wooster Ave
Dover, OH 44622
Phone (330) 365-2135

1750 Granville Pike
Lancaster, OH 43130
Phone (740) 653-2500

974 N 21st St
Newark, OH 43055
Phone (740) 281-0965

1445 W Main St
Newark, OH 43055
Phone (740) 788-0239

5850 Ridge Rd
Parma, OH 44129
Phone (440) 502-5117

3768 E Main St
Whitehall, OH 43213
Phone (614) 972-6757

485 W Main St
Wilmington, OH 45177
Phone (866) 656-6514

930 Trailwood Dr
Youngstown, OH 44512
Phone (330) 758-1143

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1861744732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ELSINORE PL STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021457",
            "telephone_number": "513-834-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 GRANVILLE PIKE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "43130",
            "telephone_number": "740-653-2500",
            "fax_number": "740-653-2552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 W. Market St.",
            "address_2": "Ste 105",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "DE",
            "postal_code": "19947",
            "country_code": "US",
            "telephone_number": "833-510-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADMALWAR",
        "first_name": "SANGITA",
        "middle_name": "AJAY",
        "name_prefix": "Mrs.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "CS-0011506",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003597RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0127859",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.