DAKSHIN GANGADHARAMURTHY (MD) – Internal Medicine Physician, NPI 1609005578
Internal Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,508 CARDIOVASCULAR DISEASE (CARDIOLOGY) in OH
Provider Addresses for DAKSHIN GANGADHARAMURTHY (MD)
627 Eastland Ave SE Ste 302
Warren, OH 444844501
Phone: (330) 841-4535
Fax: (330) 395-1721
Type: Location
7677 YANKEE STREET
SUITE 140
WASHINGTON TOWNSHIP, OH 45459
Phone: (937) 424-0012
Fax: (937) 424-0077
Type: Location
1001 Belmont Ave
Youngstown, OH 445041003
Phone: (330) 747-6446
Fax: (330) 747-6843
Type: Location
425 W 5th St
East Liverpool, OH 439202405
Phone: (330) 386-3672
Fax: (330) 386-3674
Type: Location
Burlington, 572, Great Mall Drive, Great Mall, Milpitas, Santa Clara County, California, 95035-8004, United States
LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 018050001
Phone: (781) 744-3839
Fax: (781) 744-1597
Type: Mailing
PO BOX 1000, DEPT 351
MEMPHIS, TN 381480001
Phone: (901) 758-9900
Fax: (901) 752-2335
Type: Mailing
4250 BETHEL RD
OLIVE BRANCH, MS 386548737
Phone: (901) 516-1290
Fax: (901) 516-1220
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-08-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220816001078 | I | Cardiovascular Disease (Cardiology) | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44484)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Geriatric Medicine, Hematology/Oncology | IL | |
| Nurse Practitioner | OH | |
| Hematology/Oncology, Internal Medicine | OH | |
| Radiation Oncology | OH | |
| Nurse Practitioner | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Orthopedic Surgery | OH | |
| Pulmonary Disease, Critical Care (Intensivists), Sleep Medicine | OH | |
| Physician Assistant | OH | |
| Hospitalist, Emergency Medicine | OH |
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