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AHALYA SKANDARAJAH DIFRANCO M.D.
NPI 1043638927
Internal Medicine in Mayfield Heights, OH

Active since March 28, 2014PECOS EnrolledAccepts Medicare Assignment
6780 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124(440) 312-6017(440) 312-8588 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 29, 2023, Jun 23, 2016 (2 updates tracked since 2016).

About Ahalya Skandarajah Difranco M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AHALYA SKANDARAJAH DIFRANCO M.D. (NPI 1043638927) is an individual internal medicine provider in Mayfield Heights, Ohio, licensed in Ohio (35.131132) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of Ohio State University College Of Medicine (2014).

NPPES Registry Identity

NPI1043638927
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameAHALYA SKANDARAJAH DIFRANCOCredential: M.D.
Location Address6780 MAYFIELD RDMayfield Heights, OH 44124-2203
Mailing Address6780 Mayfield RdMayfield Heights, OH 44124-2203 · (440) 312-6017 · Fax (440) 312-8588
Phone(440) 312-6017
Fax(440) 312-8588
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2014
Enumeration DateMarch 28, 2014
Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
✔ NPI 1043638927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.131132
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6780 MAYFIELD RD, Mayfield Heights, OH 44124
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ahalya Skandarajah Difranco M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133410129
PECOS Enrollment IDI20170927004162
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
276 services118 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
64 services63 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
55 services55 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360230
Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$14.83 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$65.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MICHELE CELESTE EDGINGTON C.C.P.
Perfusionist
6780 MAYFIELD RD
MAYFIELD HTS, OH 44124
Cuyahoga County (440) 312-4500
HOWARD A SCHULTZ PA-C
Physician Assistant
6780 MAYFIELD RD
MAYFIELD HTS, OH 44124
Cuyahoga County (440) 449-4500
MIA KATHERINE RIZZO CAA
Anesthesiologist Assistant
6780 MAYFIELD RD
MAYFIELD HEIGHTS, OH 44124
Cuyahoga County (440) 312-4500
HILLCREST DIAGNOSTIC CARDIOLOGY
Internal Medicine (Cardiovascular Disease)
6780 MAYFIELD RD
CLEVELAND, OH 44124
Cuyahoga County (440) 312-4399
DR. CHRISTINE LYNN PROUDFIT MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
6780 MAYFIELD RD
MAYFIELD HEIGHTS, OH 44124
Cuyahoga County (440) 312-2229
MRS. STEPHANIE MARIE RIVERA MSN, APRN, FNP-C
Nurse Practitioner (Family)
6780 MAYFIELD RD
MAYFIELD HEIGHTS, OH 44124
Cuyahoga County (216) 476-7000
MR. JAMES KUS
Physical Therapist
6780 MAYFIELD RD, REHAB DEPARTMENT
MAYFIELD HTS, OH 44124
Cuyahoga County (440) 312-8560
ALLISON JINDRA CNP
Nurse Practitioner (Obstetrics & Gynecology)
6780 MAYFIELD RD
MAYFIELD HEIGHTS, OH 44124
Cuyahoga County (440) 312-4500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ahalya Difranco's NPI number?

The NPI number for Ahalya Difranco is 1043638927. It was assigned to this individual provider in the NPPES registry on March 28, 2014.

Where is Ahalya Difranco located?

Ahalya Difranco practices at 6780 Mayfield Rd, Mayfield Heights, OH 44124. The listed phone number is (440) 312-6017.

What is Ahalya Difranco's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ahalya Difranco enrolled in Medicare?

Yes. Ahalya Difranco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ahalya Difranco affiliated with any hospitals?

According to CMS data, Ahalya Difranco is affiliated with Cleveland Clinic and Hillcrest Hospital.

When was this NPI record last updated?

The NPPES record for Ahalya Difranco was last updated on March 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.