Individual provider Active NPI

Jayesh C Vallabh, MD, MBA

  • Interventional Pain Medicine Physician
  • Columbus, OH
National Provider Identifier
1942566690
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
35129402 Issued in OH
Practice address
480 Medical Center Dr
1018 Dodd Hall
Columbus, OH 43210
Phone
(614) 293-4295
Fax
(614) 293-3809
NPI assigned
Apr 6, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 35.129402 OH
Interventional Pain Medicine Physician 208VP0014X 35129402 OH Primary

Addresses

Primary practice location

480 Medical Center Dr
1018 Dodd Hall
Columbus, OH 43210

Mailing address

480 Medical Center Dr
1011 Dodd Hall
Columbus, OH 43210-1229
Phone (614) 293-4295

Other identifiers 1

IdentifierTypeStateIssuer
35.129402OtherOHSTATE LICENSE NUMBER

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
I20161013000731 OH Practitioner - Physical Medicine and Rehabilitation 0042447146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Toledo College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osu Physical Medicine and Rehabilitation LLCGroup PAC ID 7012960644, 35 clinicians

Practice addresses (Care Compare)

2050 Kenny Rd
Columbus, OH 43221-3502
Phone (614) 366-9211

480 Medical Ctr Dr
Columbus, OH 43210-1229
Phone (614) 293-3830

Hospital & facility affiliations

  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • Ohio State University Hospital Inpatient rehabilitation facility, Columbus, OH, CCN 36T085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35129402OHMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osu Physical Medicine and Rehabilitation, LLC Physical Medicine & Rehabilitation CurrentSince Aug 20, 2016 Accepting new patients
Lima Memorial Joint Operating Company Interventional Pain Medicine Past Accepting new patients

Locations

700 Ackerman Rd
Ste 570
Columbus, OH 43202
Phone (614) 293-2046

480 Medical Center Dr
#1011
Columbus, OH 43210

480 Medical Center Dr
Columbus, OH 43210
Phone (614) 293-3830

480 Medical Center Dr
#1018
Columbus, OH 43210
Phone (614) 293-4295

6700 University Blvd
Dublin, OH 43016
Phone (614) 685-4614

6700 University Blvd
Ste 18
Dublin, OH 43016

Interoperability endpoints

  • Direct secure messaging: jvallabh219264@direct.osumc.edu

Organizations & group practices 2

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 3

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": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1942566690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 MEDICAL CENTER DR",
            "address_2": "1011 DODD HALL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101229",
            "telephone_number": "614-293-4295",
            "fax_number": "614-293-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MEDICAL CENTER DR",
            "address_2": "1018 DODD HALL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43210",
            "telephone_number": "614-293-4295",
            "fax_number": "614-293-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLABH",
        "first_name": "JAYESH",
        "middle_name": "C",
        "credential": "MD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-06",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35.129402",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "35129402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "35.129402",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.