Active NPI
Shiva Rangwani, MD, MBA
- Student in an Organized Health Care Education/Training Program
- Columbus, OH
National Provider Identifier
1417577917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 57.249200
- Practice address
- The Ohio State University Wexner Medical Center
395 W 12TH Ave. 3Rd Floor
Columbus, OH 43210 - Phone
- (614) 293-3989
- Fax
- (614) 293-9789
- NPI assigned
- Apr 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 57.249200 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | 57.249200 | OH | Primary |
Addresses
Primary practice location
The Ohio State University Wexner Medical Center
395 W 12TH Ave. 3Rd Floor
Columbus, OH 43210
Mailing address
The Ohio State University Wexner Medical Center
395 W 12TH Avenue, Third Floor
Columbus, OH 43210-8984
Phone (614) 293-3989
Other practice location 1
3640 Colonel Glenn Hwy
Dayton, OH 45435-0001
Phone (614) 378-8711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200612002432 | OH | Order and Referring Only - Internal Medicine | 3072935444 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Ohio State University Wexner Medical Center | Student in an Organized Health Care Education/Training Program | Current | Accepting new patients |
Locations
395 W 12th Ave
Fl Third
Columbus, OH 43210
Interoperability endpoints
- shiva.rangwani@upmcdirect.com
- shiva.rangwani.1@19222.direct.athenahealth.com
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.
-
- Student in an Organized Health Care Education/Training Program
- Columbus, OH
- NPI 1992598429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1417577917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER",
"address_2": "395 W 12TH AVENUE, THIRD FLOOR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432108984",
"telephone_number": "614-293-3989",
"fax_number": "614-293-9789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER",
"address_2": "395 W 12TH AVE. 3RD FLOOR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43210",
"telephone_number": "614-293-3989",
"fax_number": "614-293-9789"
}
],
"practiceLocations": [
{
"address_1": "3640 Colonel Glenn Hwy",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454350001",
"country_code": "US",
"telephone_number": "614-378-8711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANGWANI",
"first_name": "SHIVA",
"name_prefix": "Dr.",
"credential": "MD, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-24",
"last_updated": "2021-07-16",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "OH",
"license": "57.249200",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "57.249200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.