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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SUSHIL S. LAKHANI M.D.
NPI 1033422324
Psychiatry & Neurology - Vascular Neurology in Columbus, OH

Active since July 15, 2010PECOS Enrolled
95.31/100
CMS Quality Rating
300 W 10TH AVE, COLUMBUS, OH 43210(614) 293-4969(614) 293-6111 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 28, 2026, Mar 12, 2026, Oct 7, 2024 and 4 more (7 updates tracked since 2019).

About Dr. Sushil S. Lakhani M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSHIL S. LAKHANI M.D. (NPI 1033422324) is an individual vascular neurology provider in Columbus, Ohio, licensed in Ohio (35.136914) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Knox Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033422324
Entity TypeIndividualMale
Primary Taxonomy2084V0102X
Provider Legal NameDR. SUSHIL S. LAKHANICredential: M.D.
Location Address300 W 10TH AVEColumbus, OH 43210-1280
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-4969 · Fax (614) 293-6111
Phone(614) 293-4969
Fax(614) 293-6111
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 15, 2010
Last NPPES UpdateOctober 28, 20267 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1033422324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084V0102X
Licenses✔ Licensed in OH · 35.136914✔ Licensed in IN · 01101527A
Definition
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 35136914 (OH), MD492557 (PA)
Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X · License 35136914 (OH)
300 W 10TH AVE, Columbus, OH 43210
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Secondary Practice Locations 2

Location 1228 Saint Charles Way Ste 200York, PA 17402-4661 · Phone (717) 851-5503
Location 23500 Franciscan Way Ste 300Michigan City, IN 46360-0033 · Phone (219) 214-4633 · Fax (219) 214-4568

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sushil S. Lakhani M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163740242
PECOS Enrollment IDI20190812003508
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Sushil Lakhani reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osu Internal Medicine, LLC
0.1 mi
Internal Medicine
410 W 10TH AVE
Columbus, OH 43210
  • Reassigned Medicare billing, Ohio enrollment
  • 1,230 clinicians in this Medicare group
NPI 1740231448 (614) 293-8000
Osu Neuroscience Center LLC
1.0 mi
Neurology
2050 KENNY RD
Columbus, OH 43221
  • Reassigned Medicare billing, Ohio enrollment
  • 128 clinicians in this Medicare group
NPI 1962431817 (614) 293-4969
Adena Medical Group LLC
41 mi
Family Medicine
272 HOSPITAL RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 763 clinicians in this Medicare group
NPI 1235468083 (740) 779-7500
Mercy Health Physicians Springfield Specialty Care LLC
43 mi
Surgery
100 MEDICAL CENTER DR
Springfield, OH 45504
  • Reassigned Medicare billing, Ohio enrollment
  • 215 clinicians in this Medicare group
NPI 1790308104 (888) 696-3541
Wellspan Medical Group
272 mi
Family Medicine
2 KEEFER DR
Mercersburg, PA 17236
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
NPI 1407568298 (717) 328-2119

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
90 services40 patients
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
86 services85 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
70 services70 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
24 services23 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Knox Community Hospital

Acute Care Hospitals · Mount Vernon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360040
Location1330 Coshocton RoadMount Vernon, OH 43050 · Knox County
Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Mary Rutan Hospital

Acute Care Hospitals · Bellefontaine, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360197
Location205 Palmer AvenueBellefontaine, OH 43311 · Logan County
Emergency services Birthing friendly

Holzer Medical Center Jackson

Critical Access Hospitals · Jackson, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361320
Location500 Burlington RoadJackson, OH 45640 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers34 claims34 services$33.74 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers41 claims41 services$76.06 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers39 claims94 services$30.59 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers23 claims115 services$16.42 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers18 claims93 services$14.50 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers51 claims51 services$50.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SETHU M. MADHAVAN MD
Internal Medicine (Nephrology)
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3387
THE ARTHUR G. JAMES CANCER HOSPITAL AND RICHARD J. SOLOVE RESEARCH INS
General Acute Care Hospital
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8000
MORGAN ELIZABETH HILLSHAFER APRN-CNP
Nurse Practitioner
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-4925
CHERYL TAYLORE LEE MD
Urology
300 W 10TH AVE, 1ST FLOOR
COLUMBUS, OH 43210
Franklin County (614) 293-8155
DR. VIKRAM BADHRI CHAKRAVARTHY M.D.
Neurological Surgery
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8714
MICHAEL CHI GONG MD
Urology
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 685-4263
THOMAS S. LIN M.D.
Internal Medicine (Hematology & Oncology)
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 947-3700
BARBARA BECK CNP
Nurse Practitioner
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8619

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sushil Lakhani's NPI number?

The NPI number for Sushil Lakhani is 1033422324. It was assigned to this individual provider in the NPPES registry on July 15, 2010.

Where is Sushil Lakhani located?

Sushil Lakhani practices at 300 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-4969.

What is Sushil Lakhani's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Is Sushil Lakhani enrolled in Medicare?

Yes. Sushil Lakhani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sushil Lakhani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sushil Lakhani reassigns Medicare benefits to 5 organizations: Osu Internal Medicine, LLC (Columbus, OH), Osu Neuroscience Center LLC (Columbus, OH), Adena Medical Group LLC (Chillicothe, OH), Mercy Health Physicians Springfield Specialty Care LLC (Springfield, OH) and Wellspan Medical Group (Mercersburg, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sushil Lakhani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sushil Lakhani accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Sushil Lakhani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sushil Lakhani affiliated with any hospitals?

According to CMS data, Sushil Lakhani is affiliated with Knox Community Hospital, Ohio State University State Health System, Mary Rutan Hospital and Holzer Medical Center Jackson.

When was this NPI record last updated?

The NPPES record for Sushil Lakhani was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.