Active NPI
Dheeraj Muddasani, MD
- Neuroradiology Physician
- Dublin, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 35150289
- Practice address
- 5475 Rings Rd Ste 300
Dublin, OH 43017-7537 - Phone
- (614) 210-1885
- NPI assigned
- May 7, 2018
- Last updated
- Apr 22, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neuroradiology Physician | 2085N0700X | 35150289 | OH | Primary |
Addresses
Primary practice location
5475 Rings Rd Ste 300
Dublin, OH 43017-7537
Mailing address
1600 Euclid Ave Apt 1905
Cleveland, OH 44115-2156
Other practice location 1
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 541-1758
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Euclid Ave
Apt 1905
Cleveland, OH 44115-2156
Phone (740) 348-5545
793 W State St
Columbus, OH 43222-1551
Phone (614) 234-5100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35150289 | OH | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Inc | Current | Accepting new patients |
Locations
793 W State St
Columbus, OH 43222
Phone (614) 234-1862
Dept L647
Columbus, OH 43260
5475 Rings Rd
Ste 300
Dublin, OH 43017
Phone (614) 451-2151
10330 Sawmill Pkwy
Ste 500
Powell, OH 43065
Phone (614) 234-0522
Interoperability endpoints
- dmuddasani3395745@direct.trinity-health.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Dublin, OH
- NPI 1609865708
-
- Diagnostic Radiology Physician
- Newark, OH
- NPI 1477544880
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canal Winchester, OH
- NPI 1225361181
-
- General Acute Care Hospital
- Westerville, OH
- NPI 1417037045
-
- General Acute Care Hospital
- Grove City, OH
- NPI 1710067376
-
dba Mount Carmel Dublin
- General Acute Care Hospital
- Dublin, OH
- NPI 1710752183
-
- General Acute Care Hospital
- New Albany, OH
- NPI 1770668568
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1982784534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1912496845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 EUCLID AVE APT 1905",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441152156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5475 RINGS RD STE 300",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430177537",
"telephone_number": "614-210-1885"
}
],
"practiceLocations": [
{
"address_1": "11100 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441061716",
"country_code": "US",
"telephone_number": "216-541-1758",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUDDASANI",
"first_name": "DHEERAJ",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-07",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "OH",
"license": "35150289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, OH
- Mary A Moulin, RN
- Mount Carmel Health Providers Two LLC (Columbus Cardiology Consultants of Mount Carmel)
- Mount Carmel Health System (Mount Carmel Dublin)
- Jennifer Mowery
- Hala Mualla, MD
- Melissa Lynne Mueller, D.O
- Sarah Foor Muha, OD
- Muirfield Eye Care Center, Inc. (John F. Fanning, O.D.)
- Sindhu Bhairavi Mukku, MD
- Lydia Muldoon, COUNSELOR TRAINEE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.