Individual provider Active NPI

Vipin Badhwar Koshal, DO

  • Cardiovascular Disease Physician
  • Athens, OH
National Provider Identifier
1598756447
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
34-008010 Issued in OH
Practice address
65 Hospital Dr
Cornwell Center
Athens, OH 45701-2302
Phone
(740) 566-4890
Fax
(740) 566-4891
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34008010 OH
Cardiovascular Disease Physician 207RC0000X 34-008010 OH Primary

Addresses

Primary practice location

65 Hospital Dr
Cornwell Center
Athens, OH 45701-2302

Mailing address

5400 Frantz Rd
Suite 250
Dublin, OH 43016-4144

Other identifiers 1

IdentifierTypeStateIssuer
2440577MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vkoshal33725@direct.ohiohealth.com OhioHealth Physician Group

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
I20040128000190 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0840193967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Ohio University, College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

1325 Clark St
Cambridge, OH 43725-9614
Phone (740) 630-9708

1335 Clark St
Cambridge, OH 43725-9614
Phone (740) 432-2144

1341 Clark St
Cambridge, OH 43725-9614
Phone (740) 435-2873

393 E Town St
Columbus, OH 43215-4799

55 Hospital Dr
Athens, OH 45701-2302
Phone (740) 593-5551

65 Hospital Dr
Athens, OH 45701-2302
Phone (740) 566-4890

65 Hospital Dr Cornwell Ctr
Mid Ohio Cardio
Athens, OH 45701-2302
Phone (740) 566-4890

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34008010OHMDInternal Medicine Physician
34-008010OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Internal Medicine Current Accepting new patients
Ohiohealth Corporation CurrentSince Jan 21, 2011 Accepting new patients
Ohiohealth Corporation CurrentSince Jan 21, 2011 Accepting new patients
Orthopedic Trauma Services LTD Past Accepting new patients

Locations

65 Hospital Dr
Athens, OH 45701
Phone (740) 566-4890

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

3705 Olentangy River Rd
Columbus, OH 43214
Phone (614) 533-6620

Dept L3652
Columbus, OH 43260

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

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 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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1598756447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 FRANTZ RD",
            "address_2": "SUITE 250",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 HOSPITAL DR",
            "address_2": "CORNWELL CENTER",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012302",
            "telephone_number": "740-566-4890",
            "fax_number": "740-566-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSHAL",
        "first_name": "VIPIN",
        "middle_name": "BADHWAR",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34008010",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "34-008010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2440577",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vkoshal33725@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "65 Hospital Dr",
            "address_2": "Cornwell Ctr",
            "city": "Athens",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457012302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.