NPIMap

Individual provider Active NPI

Sampath Kumar Thiruveedi, M.D.

  • Nephrology Physician
  • Kettering, OH
National Provider Identifier
1992938294
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35123607 Issued in OH
Practice address
500 Lincoln Park Blvd
Suite 100
Kettering, OH 45429-6410
Phone
(937) 222-3118
Fax
(937) 222-1436
NPI assigned
Sep 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT192921 PA
Nephrology Physician 207RN0300X 35123607 OH Primary

Addresses

Primary practice location

500 Lincoln Park Blvd
Suite 100
Kettering, OH 45429-6410

Mailing address

500 Lincoln Park Blvd
Suite 100
Kettering, OH 45429-6410
Phone (937) 222-3118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140826000287 OH Practitioner - Nephrology 7214105840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal Physicians IncGroup PAC ID 5193624161, 29 clinicians

Practice addresses (Care Compare)

455 Turner Rd
Dayton, OH 45415-3630
Phone (937) 496-5162

500 Lincoln Park Blvd
Suite 100
Dayton, OH 45429-6410

Hospital & facility affiliations

  • DaVita Kettering Dialysis At Home Dialysis facility, Kettering, OH, CCN 362690
  • DaVita Home Dialysis of Dayton - South Dialysis facility, Kettering, OH, CCN 362541
  • DaVita Mallory Park Dialysis Dialysis facility, Dayton, OH, CCN 362860
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360
  • Pam Rehabilitation Hospital of Dayton LLC Inpatient rehabilitation facility, Miamisburg, OH, CCN 363046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT192921PAMDInternal Medicine Physician
35123607OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Physicians Inc Nephrology CurrentSince Jul 1, 2014 Accepting new patients

Locations

455 Turner Rd
Dayton, OH 45415
Phone (937) 294-6711

1 Elizabeth Pl
Ste 190
Dayton, OH 45417
Phone (937) 222-3118

500 Lincoln Park Blvd
Ste 100
Kettering, OH 45429
Phone (937) 222-3118

Organizations & group practices 1

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1992938294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LINCOLN PARK BLVD",
            "address_2": "SUITE 100",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454296410",
            "telephone_number": "937-222-3118",
            "fax_number": "937-222-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LINCOLN PARK BLVD",
            "address_2": "SUITE 100",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454296410",
            "telephone_number": "937-222-3118",
            "fax_number": "937-222-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIRUVEEDI",
        "first_name": "SAMPATH",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-02",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT192921",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35123607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.