Individual provider Active NPI

Poornanand Palaparty, MD

  • Hematology & Oncology Physician
  • Cleveland, OH
National Provider Identifier
1982704375
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
042486 Issued in OH
Practice address
2322 E 22ND St
Suite 201
Cleveland, OH 44115-3176
Phone
(216) 241-8654
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 042486 OH Primary

Addresses

Primary practice location

2322 E 22ND St
Suite 201
Cleveland, OH 44115-3176

Mailing address

PO Box 932127
Cleveland, OH 44193-0008
Phone (216) 241-8654

Other identifiers 2

IdentifierTypeStateIssuer
0569764MedicaidOH
000000550774OtherANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address directmob201@cleveland.ipsmso.com Outreach Professional Services Inc

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080228000733 OH Practitioner - Hematology/Oncology 4385728351 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042486OHMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest General Medical Group Inc Current Accepting new patients
Outreach Professional Services, Inc CurrentSince May 1, 2012 Accepting new patients
Southwest General Medical Group Inc CurrentSince Apr 10, 2023 Accepting new patients
Southwest General Medical Group, Inc. CurrentSince Apr 10, 2023 Accepting new patients
Outreach Professional Services Inc CurrentSince May 1, 2012 Accepting new patients

Locations

3878 Rocky River Dr
Cleveland, OH 44111
Phone (216) 251-6464

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444

2322 E 22nd St
Ste 201
Cleveland, OH 44115
Phone (216) 241-8654

7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1982704375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932127",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930008",
            "telephone_number": "216-241-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 E 22ND ST",
            "address_2": "SUITE 201",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153176",
            "telephone_number": "216-241-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAPARTY",
        "first_name": "POORNANAND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "042486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0569764",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000550774",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "directmob201@cleveland.ipsmso.com",
            "affiliation": "Y",
            "affiliationName": "Outreach Professional Services Inc",
            "address_1": "2322 E 22nd St",
            "address_2": "Suite 201",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441153176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.