Prabhakaran P Gopalakrishnan, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

35.125932 Issued in OH

Practice address

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

Phone

(330) 454-8076

NPI assigned

Jun 27, 2006

Last updated

Oct 7, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

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 2

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, LLCGroup PAC ID 1850726126, 109 clinicians

Aultman HospitalGroup PAC ID 3779485867, 41 clinicians

Orrville Hospital FoundationGroup PAC ID 7911890546, shared by 11 NPIs, 78 clinicians

The Union Hospital AssociationGroup PAC ID 0648177725, 16 clinicians

Practice addresses (Care Compare)

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 100Reported as group

Quality

63.25

Promoting interoperability

98

Improvement activities

40

Cost

72.4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Aultman Deuble Heart & Vascular Hospital, LLC

  • Cardiovascular Disease Physician
  • Canton, OH
  • NPI 1306495718
  Medicare reassignment Care Compare group NPD
• Aultman Hospital

  • Specialist
  • Canton, OH
  • NPI 1619911054
  Medicare reassignment Care Compare group NPD
• The Union Hospital Association

  dba Union Hospital

  • Rural Acute Care Hospital
  • Dover, OH
  • NPI 1871606921
  Medicare reassignment Care Compare group NPD
• Alliance Community Hospital

  • Nurse Practitioner
  • Alliance, OH
  • NPI 1598285157
  Medicare reassignment NPD
• Orrville Hospital Foundation

  dba Aultman Orrville Hospital

  • Critical Access Hospital
  • Orrville, OH
  • NPI 1891718375
  Medicare reassignment NPD
• Triad Health Services, LLC

  dba Southwoods Physician Services

  • Plastic Surgery Physician
  • Youngstown, OH
  • NPI 1588925457

  Internal Medicine

  Medicare reassignment NPD
• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  NPD
• Aultman Hospital

  dba Aultman Employee Pharmacy

  • Community/Retail Pharmacy
  • Canton, OH
  • NPI 1700941978
  NPD
• Canton Aultman Emergency Physicians Inc

  • Emergency Medicine Physician
  • Canton, OH
  • NPI 1801832381
  NPD
• Orrville Hospital Foundation

  dba Aultman Orrville Carrollton Schools Health Center

  • Rural Health Clinic/Center
  • Carrollton, OH
  • NPI 1902655681
  NPD
• The Union Hospital Association

  dba Union Hospital Professional Pharmacy

  • Community/Retail Pharmacy
  • Dover, OH
  • NPI 1023316700
  NPD
• Cardiovascular Consultants, Inc.

  • Cardiovascular Disease Physician
  • Carrollton, OH
  • NPI 1457518656
  NPD (past)

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

• Alliance Community Hospital

  • General Acute Care Hospital
  • Alliance, OH
  • NPI 1942385794
  Care Compare affiliation
• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation
• Orrville Hospital Foundation

  dba Aultman Orrville Hospital

  • Critical Access Hospital
  • Orrville, OH
  • NPI 1891718375
  Care Compare affiliation
• Prime Healthcare Foundation - Coshocton, LLC

  • General Acute Care Hospital
  • Coshocton, OH
  • NPI 1013468172
  Care Compare affiliation
• The Union Hospital Association

  dba Union Hospital

  • Rural Acute Care Hospital
  • Dover, OH
  • NPI 1871606921
  Care Compare affiliation

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1992732663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-921-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SIXTH ST SW STE 710",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-454-8076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Main St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044917",
            "country_code": "US",
            "telephone_number": "817-921-3431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOPALAKRISHNAN",
        "first_name": "PRABHAKARAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L9215",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.125932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Goode
• Breeze M Goodrich, MD
• Season Lee Goodright
• Goodwill Greater Cleveland and East Central Ohio
• Ni'Kylah Goodwin
• Adriana Gordon, CT
• Alexander Tauheed Gordon I
• Angela B Gordon, LPN
• Derrick Gordon II
• Maria Willis Gordon, LISW, LICDC

• Cardiovascular Disease Physician in Canton, OH
• Providers in Canton, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.

Verify at the official NPI Registry.