Active NPI
Abirammy Sundaramoorthy, M.D.
- Internal Medicine Physician
- Conneaut, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME150998
- Practice address
- 167 W Main Rd
Conneaut, OH 44030-2057 - Phone
- (440) 599-7466
- Fax
- (440) 593-6498
- NPI assigned
- Jul 11, 2010
- Last updated
- Jan 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | 35-121986 | OH | |
| Internal Medicine Physician | 207R00000X | ME150998 | FL | Primary |
Addresses
Primary practice location
167 W Main Rd
Conneaut, OH 44030-2057
Mailing address
24701 Euclid Ave
Third Floor Billing Services
Euclid, OH 44117-1714
Phone (440) 599-7466
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
41800 W 11 Mile Rd
Suite 109
Novi, MI 48375-1818
8055 Mayfield Rd
Chesterland, OH 44026-2447
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-121986 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Respiratory Physicians NJ PC | Internal Medicine | Current | Accepting new patients |
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Internal Medicine | Past | Accepting new patients |
| University Hospitals Regional Practices LLC | Internal Medicine | Past | Accepting new patients |
| University Primary Care Practices Inc | Past | Accepting new patients |
Locations
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226
11100 Euclid Ave
Cleveland Heights, OH 44106
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
1140 S Broadway
Geneva, OH 44041
Phone (330) 929-0009
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- Internal Medicine Physician
- Miami, FL
- NPI 1528943081
-
- Internal Medicine Physician
- Shaker Heights, OH
- NPI 1336602218
-
dba UPCP Inc
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1154375681
Internal Medicine
-
dba UH North Olmsted Urgent Care
- Urgent Care Clinic/Center
- North Olmsted, OH
- NPI 1467533885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1922310580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24701 EUCLID AVE",
"address_2": "THIRD FLOOR BILLING SERVICES",
"city": "EUCLID",
"state": "OH",
"postal_code": "441171714",
"telephone_number": "440-599-7466",
"fax_number": "440-593-6498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 W MAIN RD",
"city": "CONNEAUT",
"state": "OH",
"postal_code": "440302057",
"telephone_number": "440-599-7466",
"fax_number": "440-593-6498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDARAMOORTHY",
"first_name": "ABIRAMMY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-11",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-121986",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME150998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conneaut, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.