Belagodu N Kantharaj, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

46026 Issued in OH

Practice address

41201 Schadden Road
Suite 2
Elyria, OH 44035-2220

Phone

(440) 324-0401

Fax

(440) 324-0405

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: bkantharaj37182@ehrdirect.uhhospitals.org
• Direct secure messaging: belagodu.kantharaj@10469.chartlogic.direct-ci.com

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1982656005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36446 N RESERVE CIR",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112820",
            "telephone_number": "440-823-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41201 SCHADDEN ROAD",
            "address_2": "SUITE 2",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352220",
            "telephone_number": "440-324-0401",
            "fax_number": "440-324-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTHARAJ",
        "first_name": "BELAGODU",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OH",
            "license": "46026",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "46026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045367",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341832420029",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE",
            "identifier": "50947",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMACARE",
            "identifier": "E46046",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "830002969",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3000075",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO HEALTH CHOICE",
            "identifier": "15615",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000139923",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Mae Justus, REGISTERED NURSE
• Kailyn Juth, LISW-S
• Natalyn Kaeding
• Vijay Kakumanu, M.D.
• Michael Francis Kaminski, MD
• Erinn Kanyok, CF-SLP
• Adam Karam
• Shelby Karbacka, PHARMD
• Karenwolfelpcc
• Kenneth John Katricak I, LPC

• Hematology & Oncology Physician in Elyria, OH
• Providers in Elyria, OH by specialty
• Hematology & Oncology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.