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Prabhakaran P Gopalakrishnan, MD

Individual provider Active NPI Cardiovascular Disease Physician · Canton, OH

NPI 1992732663 · NPPES record last updated Oct 7, 2019

Key facts

NPI
1992732663
Entity type
Individual (NPI type 1)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
License
35.125932 (OH)
Practice address
2600 Sixth St SW Ste 710
Canton, OH 44710-1702
Phone
(330) 454-8076
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Cardiovascular Disease (Cardiology)
Also: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aultman Deuble Heart and Vascular Hospital, LLC (109 clinicians)
Aultman Hospital (41 clinicians)
Orrville Hospital Foundation (78 clinicians)
The Union Hospital Association (16 clinicians)

Practice addresses (Care Compare)

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 454-8076

603 Monroe St
Dover, OH 44622-2046
Phone (330) 364-8889

659 Boulevard St
Dover, OH 44622-2026
Phone (330) 343-3311

830 S Main St
Orrville, OH 44667-2291
Phone (330) 684-2015

Hospital & facility affiliations

  • Aultman Hospital Hospital · Canton, OH · CCN 360084
  • Coshocton Regional Medical Center Hospital · Coshocton, OH · CCN 360109
  • Aultman Orrville Hospital Hospital · Orrville, OH · CCN 361323
  • Alliance Community Hospital Hospital · Alliance, OH · CCN 360131
  • Union Hospital Hospital · Dover, OH · CCN 360010

Merit-based Incentive Payment System (MIPS)

Final score
80.19 of 100 (group)
Quality
63.25
Promoting interoperability
98
Improvement activities
40
Cost
72.4

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150501002085 OH Practitioner - Cardiovascular Disease (Cardiology)
Practitioner - Internal Medicine		 6305814955 Reassigns benefits to 6 organizations
I20240423003823 OH Practitioner - Internal Medicine 6305814955 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L9215TXMDInternal Medicine Physician
35.125932OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orrville Hospital Foundation Current
since Feb 1, 2021		 Accepting new patients
Triad Health Services, LLC Internal Medicine Current
since Jul 1, 2025		 Accepting new patients
Alliance Community Hospital Current
since Apr 1, 2025		 Accepting new patients
Aultman Hospital Current Accepting new patients
Aultman Hospital Current
since Feb 11, 2019		 Accepting new patients
The Union Hospital Association Current
since Jul 24, 2018		 Accepting new patients
Aultman Hospital Current
since Feb 11, 2019		 Accepting new patients
Aultman Deuble Heart & Vascular Hospital, LLC Cardiovascular Disease Current
since Jan 6, 2020		 Accepting new patients
Canton Aultman Emergency Physicians Inc Current Accepting new patients
The Union Hospital Association Current
since Jul 24, 2018		 Accepting new patients
Orrville Hospital Foundation Current
since Feb 1, 2021		 Accepting new patients
Quantum Emergency Physicians PA Internal Medicine Past Accepting new patients
Cardiovascular Consultants, Inc. Cardiovascular Disease Past Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients
Orrville Hospital Foundation Past Accepting new patients

Locations

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

2600 6th St SW
Ste 710
Canton, OH 44710

2600 6th St SW
Ste A2710
Canton, OH 44710
Phone (330) 429-5656

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 6th St SW
Ste A2800
Canton, OH 44710

2600 6th St SW
#A2
Canton, OH 44710
Phone (330) 363-1342

1523 Walnut St
Coshocton, OH 43812
Phone (740) 255-5189

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

603 Monroe St
Ste 101
Dover, OH 44622

603 Monroe St
Dover, OH 44622
Phone (330) 364-8889

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

2037 Wales Ave NW
Ste 120
Massillon, OH 44646

6307 E State Rd
Newcomerstown, OH 43832
Phone (740) 498-5515

830 S Main St
Ste 511
Orrville, OH 44667
Phone (330) 684-2015

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

830 S Main St
Ste 101
Orrville, OH 44667
Phone (330) 438-6333

830 S Main St
Orrville, OH 44667
Phone (330) 684-2015

1995 E State St
Salem, OH 44460
Phone (330) 332-1551

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

250 Debartolo Pl
Ste 2750
Youngstown, OH 44512
Phone (330) 758-7703

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

Interoperability endpoints

  • Direct secure messaging: prabhakaran.gopalakrishnan@direct.aultman.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L9215 TX
Cardiovascular Disease Physician 207RC0000X 35.125932 OH Yes

Addresses

Primary practice location

2600 Sixth St SW Ste 710
Canton, OH 44710-1702

Mailing address

1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 921-3431

Other practice location 1

1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 921-3431

Other identifiers

IdentifierTypeStateIssuer
167626402MedicaidTX

Other providers in Canton, OH

All providers in Canton, OH · Cardiovascular Disease Physician in Ohio

Sources for this page

Verify at the official NPI Registry.