Individual provider Active NPI

Sheital Bhupendra Bavishi, DO

  • Physical Medicine & Rehabilitation Physician
  • Columbus, OH
National Provider Identifier
1407067796
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
34.009837 Issued in OH
Practice address
480 Medical Center Dr
Columbus, OH 43210-1229
Phone
(614) 293-7604
Fax
(614) 366-3809
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 58001574 OH
Physical Medicine & Rehabilitation Physician 208100000X 34-009837 OH
Physical Medicine & Rehabilitation Physician 208100000X 34.009837 OH Primary

Addresses

Primary practice location

480 Medical Center Dr
Columbus, OH 43210-1229

Mailing address

480 Medical Center Drive
Columbus, OH 43210
Phone (614) 293-7604

Other identifiers 1

IdentifierTypeStateIssuer
3055223MedicaidOH

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
I20100730000472 OH Practitioner - Physical Medicine and Rehabilitation 3577696384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Ohio University, College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osu Physical Medicine and Rehabilitation LLCGroup PAC ID 7012960644, 35 clinicians

Practice addresses (Care Compare)

2050 Kenny Rd
Columbus, OH 43221-3502
Phone (614) 366-9211

410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 366-9211

450 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 366-9211

452 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 366-9211

460 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 366-9211

480 Medical Ctr Dr
Columbus, OH 43210-1229
Phone (614) 293-3830

Hospital & facility affiliations

  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • James Cancer Hospital & Solove Research Institute Hospital, Columbus, OH, CCN 360242
  • Ohio State University Hospital Inpatient rehabilitation facility, Columbus, OH, CCN 36T085

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-009837OHMDPhysical Medicine & Rehabilitation Physician
34.009837OHMDPhysical Medicine & Rehabilitation Physician
58001574OHMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osu Physical Medicine and Rehabilitation, LLC Physical Medicine & Rehabilitation CurrentSince May 1, 2013 Accepting new patients
Ohio State University Hospitals Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

480 Medical Center Dr
Columbus, OH 43210
Phone (614) 293-3830

2050 Kenny Rd
Ste 3300
Columbus, OH 43221
Phone (614) 366-9211

700 Ackerman Rd
Ste 570
Columbus, OH 43202
Phone (614) 293-2046

Interoperability endpoints

  • Direct secure messaging: sbavishi217062@direct.osumc.edu

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 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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1407067796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 MEDICAL CENTER DRIVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43210",
            "telephone_number": "614-293-7604",
            "fax_number": "614-366-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MEDICAL CENTER DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101229",
            "telephone_number": "614-293-7604",
            "fax_number": "614-366-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVISHI",
        "first_name": "SHEITAL",
        "middle_name": "BHUPENDRA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "58001574",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "34-009837",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "34.009837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3055223",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.