Manish I Koyawala, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

35064869K Issued in OH

Practice address

275 Taylor Station Rd
Columbus, OH 43213-1445

Phone

(614) 523-2211

Fax

(614) 523-2288

NPI assigned

Oct 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Anesthesiology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Anesthesia of Ohio LLCGroup PAC ID 3779714258, 123 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Premier Anesthesia of Ohio LLC

  • Anesthesiology Physician
  • Grove City, OH
  • NPI 1699196022
  Medicare reassignment Care Compare group NPD
• Mask Anesthesia Consultants Inc

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1477965150
  NPD
• Anesthesiology Consultants, Inc.

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1972775013
  NPD (past)
• Pain Management Center

  • Interventional Pain Medicine Physician
  • Parkersburg, WV
  • NPI 1124087549
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1346239357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 DORCHESTER SQ S",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430817302",
            "telephone_number": "614-523-2211",
            "fax_number": "614-523-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 TAYLOR STATION RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131445",
            "telephone_number": "614-523-2211",
            "fax_number": "614-523-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOYAWALA",
        "first_name": "MANISH",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35064869K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0952947",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary L Kowalski, LSW
• Meghan Jane Kowalski, RBT
• Olivia Lenke Kowalski, MD
• Robert A Kowatch, M.D.
• Sharon J Kowatch, CNP
• Brandon Kozar, PSY.D.
• Brittany Marie Kozar
• Joyce Asantewaa Kozegah
• Beth Ann Kozel, MD
• Kenneth Michael Kozlosky, MS, CCC-SLP

• Anesthesiology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Anesthesiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.