DR. SALLY NAMBOODIRI M.D.
NPI 1306931316
General Acute Care Hospital in Cleveland, OH

Q: What is Sally Namboodiri's NPI number?

The NPI number for Sally Namboodiri is 1306931316. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Sally Namboodiri's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Q: When was this NPI record last updated?

The NPPES record for Sally Namboodiri was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since October 04, 2006PECOS Enrolled

4242 LORAIN AVE, CLEVELAND, OH 44113(216) 939-0699(216) 939-0789 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Sally Namboodiri M.d. NPPES

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

DR. SALLY NAMBOODIRI M.D. (NPI 1306931316) is an individual general acute care hospital provider in Cleveland, Ohio, licensed in Ohio (35063103) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306931316

Entity TypeIndividualFemale

Primary Taxonomy282N00000X

Provider Legal NameDR. SALLY NAMBOODIRICredential: M.D.

Location Address4242 LORAIN AVECleveland, OH 44113-3715

Mailing Address4242 Lorain AveCleveland, OH 44113-3715 · (216) 939-0699 · Fax (216) 939-0789

Phone(216) 939-0699

Fax(216) 939-0789

Sole ProprietorYes

Enumeration DateOctober 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1306931316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

License✔ Licensed in OH · 35063103

Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

4242 LORAIN AVE, Cleveland, OH 44113

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Other Identifiers 1

Medicare UPINF38280OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sally Namboodiri M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 6

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

ERIC G FRIESS MD

Family Medicine

4242 LORAIN AVE, THOMAS F. MCCAFFERTY HEALTH CENTER
CLEVELAND, OH 44113

Cuyahoga County (216) 651-3740

GISELE INJOH

Family Medicine (Adolescent Medicine)

4242 LORAIN AVE
CLEVELAND, OH 44113

Cuyahoga County (216) 651-5005

DR. TRUVY I COHEN MD

Internal Medicine (Geriatric Medicine)

4242 LORAIN AVE
CLEVELAND, OH 44113

Cuyahoga County (216) 939-0699

CINDY ANN FARINA CNM

Nurse Practitioner (Women's Health)

4242 LORAIN AVE, SUITE 233
CLEVELAND, OH 44113

Cuyahoga County (216) 420-8382

CITY OF CLEVELAND DEPT. OF PUBLIC HEALTH

Public Health or Welfare

4242 LORAIN AVE
CLEVELAND, OH 44113

Cuyahoga County (216) 651-5005

JEANNIE ELLEN JOHNSON CNP

Nurse Practitioner (Adult Health)

4242 LORAIN AVE
CLEVELAND, OH 44113

Cuyahoga County (216) 420-8383

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 Sally Namboodiri's NPI number?

The NPI number for Sally Namboodiri is 1306931316. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Sally Namboodiri located?

Sally Namboodiri practices at 4242 Lorain Ave, Cleveland, OH 44113. The listed phone number is (216) 939-0699.

What is Sally Namboodiri's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Sally Namboodiri enrolled in Medicare?

Yes. Sally Namboodiri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sally Namboodiri was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.