Individual provider Active NPI

Louis J Rivello, MD

  • Radiation Oncology Physician
  • Columbus, OH
National Provider Identifier
1598754848
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35051879 Issued in OH
Practice address
3100 Plaza Properties Blvd
Columbus, OH 43219-1531
Phone
(614) 383-6224
NPI assigned
Oct 19, 2005
Last updated
Feb 26, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 35051879 OH Primary
Diagnostic Radiology Physician 2085R0202X 35051879 OH

Addresses

Primary practice location

3100 Plaza Properties Blvd
Columbus, OH 43219-1531

Mailing address

Dept L-647
Columbus, OH 43260-0001
Phone (866) 287-0568

Other identifiers 1

IdentifierTypeStateIssuer
067360MedicaidOH

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
I20080227000534 OH Practitioner - Diagnostic RadiologyPractitioner - Radiation Oncology 0042394181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northeastern Ohio University College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology IncGroup PAC ID 1658274543, 56 clinicians

Practice addresses (Care Compare)

793 W State St
Columbus, OH 43222-1551
Phone (614) 234-5100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35051879OHMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Inc Diagnostic Radiology CurrentSince Oct 1, 1987 Accepting new patients

Locations

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

Dept L 647
Columbus, OH 43260

Dept L647
Columbus, OH 43260

10330 Sawmill Pkwy
Ste 500
Powell, OH 43065
Phone (614) 234-0522

Interoperability endpoints

  • Direct secure messaging: lrivello1155071@direct.trinity-health.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1598754848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT L-647",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432600001",
            "telephone_number": "866-287-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PLAZA PROPERTIES BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191531",
            "telephone_number": "614-383-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVELLO",
        "first_name": "LOUIS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35051879",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35051879",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067360",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.