Individual provider Active NPI

Virginia Maria Diavolitsis, MD

  • Radiation Oncology Physician
  • Columbus, OH
National Provider Identifier
1275799181
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35.097820 Issued in OH
Practice address
300 W 10TH Ave
Room 86
Columbus, OH 43210-1280
Phone
(614) 366-3886
NPI assigned
Jul 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X AN5240394-3761 IL
Radiation Oncology Physician 2085R0001X 35.097820 OH Primary

Addresses

Primary practice location

300 W 10TH Ave
Room 86
Columbus, OH 43210-1280

Mailing address

300 W 10TH Ave
Room 86
Columbus, OH 43210-1280

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
I20111013000446 OH Practitioner - Radiation Oncology 7113199266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Northwestern University Feinberg Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Radiation Oncology IncGroup PAC ID 2769415215, 6 clinicians

Practice addresses (Care Compare)

1330 Coshocton Ave
Mount Vernon, OH 43050-1440
Phone (614) 566-5560

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5560

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348
  • Knox Community Hospital Hospital, Mount Vernon, OH, CCN 360040
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Grady Memorial Hospital Hospital, Delaware, OH, CCN 360210

Merit-based Incentive Payment System (MIPS)

Final score
96.02 of 100Reported as group
Quality
88.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AN5240394-3761ILMDRadiation Oncology Physician
35.097820OHMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Radiation Oncology Inc Radiation Oncology CurrentSince Jul 11, 2017 Accepting new patients

Locations

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

7500 Hospital Dr
Dublin, OH 43016
Phone (614) 544-8000

1451 Yauger Rd
Mount Vernon, OH 43050
Phone (740) 397-1420

Organizations & group practices 1

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 6

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": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1275799181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 10TH AVE",
            "address_2": "ROOM 86",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 10TH AVE",
            "address_2": "ROOM 86",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101280",
            "telephone_number": "614-366-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAVOLITSIS",
        "first_name": "VIRGINIA",
        "middle_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "AN5240394-3761",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35.097820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.