Individual provider Active NPI

Praveen Dubey, MD

  • Radiation Oncology Physician
  • Columbus, OH
National Provider Identifier
1114957552
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35063908 Issued in OH
Practice address
3525 Olentangy River Rd
Columbus, OH 43214-3937
Phone
(614) 566-5000
Fax
(614) 566-6958
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 35063908 OH Primary

Addresses

Primary practice location

3525 Olentangy River Rd
Columbus, OH 43214-3937

Mailing address

PO Box 182039
Dept 086
Columbus, OH 43218-2039
Phone (614) 430-5712

Other identifiers 2

IdentifierTypeStateIssuer
000000118955OtherANTHEM
0931522MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pdubey30046@direct.ohiohealth.com OhioHealth Physician Group

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
I20080819000173 OH Practitioner - Radiation Oncology 2264507771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Oregon Health Sciences University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

801 Ohio Health Blvd
Suite 180
Delaware, OH 43015-7883
Phone (740) 615-0232

Hospital & facility affiliations

  • Marion General Hospital Hospital, Marion, OH, CCN 360011
  • Grady Memorial Hospital Hospital, Delaware, OH, CCN 360210
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Sep 1, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince Sep 1, 2021 Accepting new patients
Ohiohealth Corporation Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Southeastern Ohio Regional Medical Center Inc PastSince Apr 27, 2015 Accepting new patients
Central Ohio Urology Group, LLC Past Accepting new patients

Locations

1455 Clark St
Cambridge, OH 43725
Phone (740) 435-2771

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

5200 W Broad St
Columbus, OH 43228
Phone (614) 294-5481

3525 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

801 Ohio Health Blvd
Ste 180
Delaware, OH 43015
Phone (740) 615-0227

Organizations & group practices 6

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1114957552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182039",
            "address_2": "DEPT 086",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432182039",
            "telephone_number": "614-430-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-566-5000",
            "fax_number": "614-566-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBEY",
        "first_name": "PRAVEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-12-22",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35063908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000118955",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0931522",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdubey30046@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "801 OhioHealth Blvd",
            "address_2": "Ste 180",
            "city": "Delaware",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.