Pavan Venkata Dontineni, M.D

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35.099411 Issued in OH

Practice address

6400 E Broad St Ste 400
Columbus, OH 43213-2979

Phone

(614) 655-3345

Fax

(614) 317-4689

NPI assigned

Jun 4, 2008

Last updated

Apr 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Autumn Treatment Center LLCGroup PAC ID 6002204344, 15 clinicians

State of Ohio Office of Budget and Management State AccountingGroup PAC ID 0143133181, 109 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Autumn Treatment Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Washington Court House, OH
  • NPI 1225601826
  Medicare reassignment Care Compare group NPD
• State of Ohio Office of Budget and Management State Accounting

  dba Summit Behavioral Healthcare

  • Psychiatric Hospital
  • Cincinnati, OH
  • NPI 1023082716
  Medicare reassignment Care Compare group NPD
• Access Behavioral LLC

  dba Access Health Network

  • Medical Specialty Clinic/Center
  • Columbus, OH
  • NPI 1437463213

  Psychiatry

  Medicare reassignment NPD
• Access Ohio, LLC

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1689763740
  Medicare reassignment NPD
• Michael G Saribalas DO PA

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Gahanna, OH
  • NPI 1275720591
  Medicare reassignment NPD
• Mindfully Psychiatry LLC

  • Psychiatry Physician
  • Montgomery, OH
  • NPI 1881341543
  Medicare reassignment NPD
• Healthy Life Center LLC

  • Family Medicine Physician
  • Reynoldsburg, OH
  • NPI 1003511627
  NPD Authorized official
• Access Ohio, LLC

  dba Access Ohio

  • Substance Abuse Rehabilitation Facility
  • Dayton, OH
  • NPI 1194179150
  NPD
• Autumn Treatment Center LLC

  • Family Medicine Physician
  • Springfield, OH
  • NPI 1104633221
  NPD
• State of Ohio Office of Budget and Management State Accounting

  dba Central Ohio Behavioral Healthcare

  • Psychiatric Hospital
  • Columbus, OH
  • NPI 1710951835
  NPD
• State of Ohio Office of Budget and Management State Accounting

  dba Ohio Veterans Home

  • Nursing Facility/Intermediate Care Facility
  • Sandusky, OH
  • NPI 1790732576
  NPD
• Licking Memorial Professional Corp.

  dba Licking Memorial Pediatrics-Utica

  • Pediatrics Physician
  • Utica, OH
  • NPI 1497771521
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1790944866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6449 HERB GARDEN CT",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548633",
            "telephone_number": "740-877-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 E BROAD ST STE 400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132979",
            "telephone_number": "614-655-3345",
            "fax_number": "614-317-4689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1612 Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Reynoldsburg",
            "state": "OH",
            "postal_code": "430682639",
            "country_code": "US",
            "telephone_number": "740-300-1380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONTINENI",
        "first_name": "PAVAN",
        "middle_name": "VENKATA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.099411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069253",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Donovan, APRN-CNP
• Joseph W Donovan, M.D.
• Tracy M. Donovan, PA
• Donsque Donston
• Rajesh Ramamurthy Donthi, MD
• Jacqueline T Doodley, OCPRS
• Dennis M Doody, MD
• Deborah Margaret Dooley
• Mary Pamela Dooley, LMT
• Amy Kirsten Doolin, CDCA II

• Psychiatry Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.