Individual provider Active NPI

Vivek Rajan Awasty, MD

  • Internal Medicine Physician
  • Marion, OH
National Provider Identifier
1093718207
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35065197 Issued in OH
Practice address
980 S Prospect St
Suite 2
Marion, OH 43302-6225
Phone
(740) 383-7250
Fax
(740) 387-8416
NPI assigned
May 23, 2005
Reactivated
Jun 9, 2006
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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 35065197A OH
Internal Medicine Physician 207R00000X 35065197 OH Primary

Addresses

Primary practice location

980 S Prospect St
Suite 2
Marion, OH 43302-6225

Mailing address

L-3549
Columbus, OH 43260-0001
Phone (740) 387-0894

Other identifiers 1

IdentifierTypeStateIssuer
0922836MedicaidOH

Other names 1

  • Vivek Rajan Awasty Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050727000943 OH Practitioner - Internal Medicine 8325076730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.5 of 100Reported as apm
Quality
71.52
Promoting interoperability
95.57
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35065197OHMDInternal Medicine Physician
35065197AOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Area Physicians LLC Internal Medicine CurrentSince Oct 28, 2012 Accepting new patients
Marion General Hospital, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

6 Lexington Blvd
Delaware, OH 43015
Phone (740) 363-9021

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

1050 Delaware Ave
Marion, OH 43302
Phone (740) 383-7038

980 S Prospect St
#2
Marion, OH 43302
Phone (740) 383-7250

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1093718207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "L-3549",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432600001",
            "telephone_number": "740-387-0894",
            "fax_number": "740-387-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 S PROSPECT ST",
            "address_2": "SUITE 2",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026225",
            "telephone_number": "740-383-7250",
            "fax_number": "740-387-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWASTY",
        "first_name": "VIVEK",
        "middle_name": "RAJAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "deactivation_date": "2005-05-23",
        "reactivation_date": "2006-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35065197A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35065197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0922836",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVEK",
            "last_name": "AWASTY",
            "middle_name": "RAJAN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.