Pallavi R Mandiga, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34011955 Issued in OH

Practice address

4845 Knightsbridge Blvd Ste 220
Columbus, OH 43214-2463

Phone

(614) 299-5838

Fax

(614) 299-5929

NPI assigned

Mar 19, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Pallavi Rao Mandiga Other name

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

Family Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Ohio Primary Care Physicians, Inc.Group PAC ID 2769383785, 487 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summit Orthopaedic Home Care Home health agency, Grandview Heights, OH, CCN 368154
• Ohiohealth Home Health With Compassus Home health agency, Dublin, OH, CCN 367615
• Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
• James Cancer Hospital & Solove Research Institute Hospital, Columbus, OH, CCN 360242

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pmandiga18856@copcp.medicity.net

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.

• Central Ohio Primary Care Physicians, Inc.

  • Internal Medicine Physician
  • Westerville, OH
  • NPI 1194705194

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Central Ohio Primary Care Physicians Inc

  • Hospitalist Physician
  • Westerville, OH
  • NPI 1518398866
  NPD
• Central Ohio Primary Care Physicians, Inc.

  • Clinical Medical Laboratory
  • Westerville, OH
  • NPI 1639279045
  NPD

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

• Affordable Home Health Care, LLC

  • Home Health Agency
  • Grandview Heights, OH
  • NPI 1861413999
  Care Compare affiliation
• Arthur G James Cancer Hospital and Research Institute

  • Special Hospital
  • Columbus, OH
  • NPI 1124127683
  Care Compare affiliation
• Compassus Ohiohealth Columbus HHA, LLC

  • Home Health Agency
  • Dublin, OH
  • NPI 1821103227
  Care Compare affiliation
• Ohiohealth Corporation

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1467484972
  Care Compare affiliation
• Ohiohealth Corporation

  • Clinical Medical Laboratory
  • Columbus, OH
  • NPI 1710916945

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366784191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 KNIGHTSBRIDGE BLVD STE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142463",
            "telephone_number": "614-299-5838",
            "fax_number": "614-299-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 KNIGHTSBRIDGE BLVD STE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142463",
            "telephone_number": "614-299-5838",
            "fax_number": "614-299-5929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4885 Olentangy River Rd",
            "address_2": "Suite 1-10",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432141952",
            "country_code": "US",
            "telephone_number": "614-268-6555",
            "fax_number": "614-457-5706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4885 Olentangy River Rd",
            "address_2": "Suite 1-10",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432141952",
            "country_code": "US",
            "telephone_number": "614-268-6555",
            "fax_number": "614-457-5706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDIGA",
        "first_name": "PALLAVI",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34011955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PALLAVI",
            "last_name": "MANDIGA",
            "middle_name": "RAO",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Glenda Mancilla, LMSW
• Aman-Vir Mandair
• Abby Lynn Mandalla
• Vincent Haralambos Mandas, D.P.M,
• Robin Mandeville, LPN
• Jessica Lynn Mandrell, APRN-CNP
• Eva Mandybur
• Princely Manene
• Taylor Manes, DO
• Macala Maney, MD

• Family Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.