ADARSH VENNEPUREDDY M.D
NPI 1104265156
Internal Medicine - Hematology & Oncology in Sandusky, OH

Active since June 21, 2013PECOS EnrolledAccepts Medicare Assignment
79.14/100
CMS Quality Rating
417 QUARRY LAKES DR, SANDUSKY, OH 44870(419) 626-9090(419) 626-6319 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2024, Jun 14, 2019 (2 updates tracked since 2019).

About Adarsh Vennepureddy M.d NPPES

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

ADARSH VENNEPUREDDY M.D (NPI 1104265156) is an individual hematology & oncology provider in Sandusky, Ohio, licensed in Ohio (35.135816) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1104265156
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameADARSH VENNEPUREDDYCredential: M.D
Location Address417 QUARRY LAKES DRSandusky, OH 44870-8635
Mailing Address6672 List St NwCanton, OH 44708-6419
Fax(419) 626-6319
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 21, 2013
Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
NPI 1104265156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in OH · 35.135816
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
417 QUARRY LAKES DR, Sandusky, OH 44870

Accepted Insurance

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

Adarsh Vennepureddy 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 ID1355613795
PECOS Enrollment IDI20190719001552
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 14

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.

Injection, ferric derisomaltose, 10 mg J1437
Ferric derisomaltose is an iron replacement product. It's given as an injection to treat iron deficiency anemia, a condition where the body lacks enough iron. The injection helps increase iron in your body to healthy levels.
1,200 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
193 services72 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
114 services96 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
71 services46 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
55 services53 patients
Injection of additional new drug or substance into vein 96375
This procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.
45 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360025
Location1111 Hayes AvenueSandusky, OH 44870 · Erie County
Emergency services Birthing friendly

Fisher-Titus Hospital

Acute Care Hospitals · Norwalk, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360065
Location272 Benedict AvenueNorwalk, OH 44857 · Huron County
Emergency services Birthing friendly

Mercy Medical Center

Acute Care Hospitals · Canton, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360070
Location1320 Mercy Drive NWCanton, OH 44708 · Stark County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Fremont, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360156
Location715 South Taft AvenueFremont, OH 43420 · Sandusky County
Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44870 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.3
Promoting Interoperability100
Improvement Activities40
Cost41.33

Referred Medical Equipment & Supplies CMS DME claims 5

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier34 claims39 services$18.55 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier58 claims58 services$35.90 avg. paid by Medicare
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient E0781
DME-Other DME · category DE000N
1 supplier32 claims32 services$197.70 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims700 services$0.79 avg. paid by Medicare
Injection, fluorouracil, 500 mg J9190
Treatment-Chemotherapy · category RH002N
1 supplier64 claims762 services$1.70 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 12

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

Physician Assistant (Medical)
417 QUARRY LAKES DR
SANDUSKY, OH 44870
Pharmacist
417 QUARRY LAKES DR
SANDUSKY, OH 44870
Social Worker (Clinical)
417 QUARRY LAKES DR
SANDUSKY, OH 44870
Pharmacist
417 QUARRY LAKES DR
SANDUSKY, OH 44870
Radiology (Radiation Oncology)
417 QUARRY LAKES DR
SANDUSKY, OH 44870
Dietitian, Registered
417 QUARRY LAKES DR
SANDUSKY, OH 44870
Pharmacy (Clinic Pharmacy)
417 QUARRY LAKES DR
SANDUSKY, OH 44870
Nurse Practitioner
417 QUARRY LAKES DR
SANDUSKY, OH 44870

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 Adarsh Vennepureddy's NPI number?

The NPI number for Adarsh Vennepureddy is 1104265156. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Where is Adarsh Vennepureddy located?

Adarsh Vennepureddy practices at 417 Quarry Lakes Dr, Sandusky, OH 44870. The listed phone number is (419) 626-9090.

What is Adarsh Vennepureddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Adarsh Vennepureddy enrolled in Medicare?

Yes. Adarsh Vennepureddy 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.

What insurance does Adarsh Vennepureddy accept?

Health plans from Molina Healthcare and Oscar Insurance Corporation of Ohio list Adarsh Vennepureddy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Adarsh Vennepureddy affiliated with any hospitals?

According to CMS data, Adarsh Vennepureddy is affiliated with Firelands Regional Medical Center, Fisher-Titus Hospital, Mercy Medical Center, Memorial Hospital and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Adarsh Vennepureddy was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.