Individual provider Active NPI

Rohan Khandalavala, MD

  • Otolaryngology Physician
  • Columbus, OH
National Provider Identifier
1942720107
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35146338 Issued in OH
Practice address
974 Bethel Rd Ste a
Columbus, OH 43214-2467
Phone
(614) 538-2424
Fax
(614) 538-2418
NPI assigned
Jun 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 35146338 OH Primary

Addresses

Primary practice location

974 Bethel Rd Ste a
Columbus, OH 43214-2467

Mailing address

1810 Mackenzie Dr
Columbus, OH 43220-2967
Phone (614) 273-2250

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address 974bethelent@1047.direct.myezyaccess.com
Direct Messaging Address cooperent@1047.direct.myezyaccess.com

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
I20220926002131 OH Practitioner - Otolaryngology 3274806948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Nebraska College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Otolaryngologists IncGroup PAC ID 7719881960, 59 clinicians

Practice addresses (Care Compare)

974 Bethel Rd
Suite a
Columbus, OH 43214-2467
Phone (614) 538-2424

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348
  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Mount Carmel New Albany Surgical Hospital Hospital, New Albany, OH, CCN 360266

Merit-based Incentive Payment System (MIPS)

Final score
82.93 of 100Reported as group
Quality
64.42
Promoting interoperability
99
Improvement activities
40
Cost
73.2

Merit-based Incentive Payment System (MIPS)

Final score
90.51 of 100Reported as group
Quality
92.35
Promoting interoperability
88
Improvement activities
40
Cost
86.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35146338OHMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Otolaryngologists Inc Otolaryngology CurrentSince Apr 1, 2024 Accepting new patients
Adena Medical Group LLC CurrentSince Aug 15, 2022 Accepting new patients

Locations

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

272 Hospital Rd
Ste 6
Chillicothe, OH 45601

974 Bethel Rd
Ste A
Columbus, OH 43214
Phone (614) 538-2422

6573 E Broad St
Ste A
Columbus, OH 43213
Phone (614) 755-5151

1810 Mackenzie Dr
Columbus, OH 43220
Phone (614) 273-2234

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

477 Cooper Rd
Ste 480
Westerville, OH 43081
Phone (614) 293-4238

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 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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1942720107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MACKENZIE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202967",
            "telephone_number": "614-273-2250",
            "fax_number": "614-273-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 BETHEL RD STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142467",
            "telephone_number": "614-538-2424",
            "fax_number": "614-538-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANDALAVALA",
        "first_name": "ROHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35146338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "974bethelent@1047.direct.myezyaccess.com",
            "affiliation": "N",
            "address_1": "974 Bethel Rd Ste A",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432142467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cooperent@1047.direct.myezyaccess.com",
            "affiliation": "N",
            "address_1": "477 Cooper Rd Ste 480",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430818095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.