Individual provider Active NPI

Vinay Mulkanoor, D.O.

  • Nephrology Physician
  • Westerville, OH
National Provider Identifier
1457793150
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
34.013331 Issued in OH
Practice address
595 Copeland Mill Rd Ste 2D
Westerville, OH 43081
Phone
(614) 823-8500
NPI assigned
Jul 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 34.013331 OH Primary

Addresses

Primary practice location

595 Copeland Mill Rd Ste 2D
Westerville, OH 43081

Mailing address

PO Box 689
Lehigh Valley Health Network, Dept of Medicine
Allentown, PA 18105-1556
Phone (484) 862-3170

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
I20180723001999 OH Practitioner - NephrologyPractitioner - Internal Medicine 8325330368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Specialists, Inc.Group PAC ID 7719871474, 8 clinicians

Practice addresses (Care Compare)

401 N Ewing St
Lancaster, OH 43130-3372
Phone (740) 687-8000

4661 Karl Rd
Columbus, OH 43229-6421
Phone (614) 840-0012

477 Cooper Rd
Suite 140
Westerville, OH 43081-8056
Phone (614) 895-2705

500 S Cleveland Ave
Westerville, OH 43081-8971
Phone (614) 898-4000

595 Copeland Mill Rd
Suite 2D
Westerville, OH 43081-8908
Phone (614) 823-8500

6001 E Broad St
Columbus, OH 43213-1502
Phone 61423460000

6465 E Broad St
Columbus, OH 43213-1576
Phone (614) 823-8500

Hospital & facility affiliations

  • FMC- Westerville Dialysis Dialysis facility, Westerville, OH, CCN 362686
  • FMC - Central Ohio Dialysis facility, Columbus, OH, CCN 362501
  • FMC Nxstage Kidney Care/Nxstage Columbus LLC Dialysis facility, Dublin, OH, CCN 362851
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012
  • Mount Carmel Dublin Hospital, Dublin, OH, CCN 360375
  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072
  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Specialists, Inc. Nephrology CurrentSince Aug 6, 2018 Accepting new patients

Locations

6465 E Broad St
Columbus, OH 43213
Phone (614) 626-4943

595 Copeland Mill Rd
Ste 2D
Westerville, OH 43081
Phone (614) 823-8500

Interoperability endpoints

  • Direct secure messaging: vmulkanoor27962@direct.acumenmd.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.

Hospital & facility affiliations 9

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": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1457793150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "address_2": "LEHIGH VALLEY HEALTH NETWORK, DEPT OF MEDICINE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181051556",
            "telephone_number": "484-862-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 COPELAND MILL RD STE 2D",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "43081",
            "telephone_number": "614-823-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULKANOOR",
        "first_name": "VINAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-23",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "34.013331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.