NPIMap

Individual provider Active NPI

Kavya Sreevalsan

  • Geriatric Medicine (Internal Medicine) Physician
  • Columbus, OH
National Provider Identifier
1407218217
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
35145724 Issued in OH
Practice address
1800 Zollinger Rd
Columbus, OH 43221-2849
Phone
(614) 293-2130
Fax
(614) 293-3087
NPI assigned
Mar 22, 2016
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 35145724 OH Primary

Addresses

Primary practice location

1800 Zollinger Rd
Columbus, OH 43221-2849

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-2130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200811000260 NY Practitioner - Geriatric Medicine 4688973837 Reassigns benefits to 1 organization
I20220923000788 OH Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4688973837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Northeastern Ohio University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osu General Internal Medicine LLCGroup PAC ID 7517103955, 270 clinicians

Practice addresses (Care Compare)

1800 Zollinger Rd
Columbus, OH 43221-2849
Phone (614) 293-7417

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35145724OHMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osu General Internal Medicine LLC CurrentSince Aug 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Geriatric Medicine CurrentSince Mar 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 1, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1440 Madison Ave
New York, NY 10029
Phone (212) 241-5561

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

2050 Kenny Rd
Columbus, OH 43221
Phone (614) 293-8054

2050 Kenny Rd
Ste 2250
Columbus, OH 43221
Phone (614) 293-6872

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

1800 Zollinger Rd
Upper Arlington, OH 43221
Phone (614) 293-2130

Interoperability endpoints

  • Direct secure messaging: ksreevalsan1064637@direct.osumc.edu

Organizations & group practices 4

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

Hospital & facility affiliations 5

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1407218217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-2130",
            "fax_number": "614-293-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ZOLLINGER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212849",
            "telephone_number": "614-293-2130",
            "fax_number": "614-293-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SREEVALSAN",
        "first_name": "KAVYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35145724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.