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DR. EDWIN ALONSO VARGAS VELANDIA M.D
NPI 1073874939
Internal Medicine - Infectious Disease in Columbus, OH

Active since June 06, 2012PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
3555 OLENTANGY RIVER RD STE 3000, COLUMBUS, OH 43214(614) 788-5200(614) 788-5210 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 30, 2023, Sep 25, 2020, Aug 11, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Edwin Alonso Vargas Velandia M.d NPPES

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

DR. EDWIN ALONSO VARGAS VELANDIA M.D (NPI 1073874939) is an individual infectious disease provider in Columbus, Ohio, licensed in Ohio (35.131029) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1073874939
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. EDWIN ALONSO VARGAS VELANDIACredential: M.D
Location Address3555 OLENTANGY RIVER RD STE 3000Columbus, OH 43214-3900
Mailing Address3555 Olentangy River Rd Ste 3000Columbus, OH 43214-3900 · (614) 788-5200 · Fax (614) 788-5210
Phone(614) 788-5200
Fax(614) 788-5210
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 6, 2012
Last NPPES UpdateMay 30, 20234 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
✔ NPI 1073874939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in OH · 35.131029
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 57.020802 (OH)
3555 OLENTANGY RIVER RD STE 3000, Columbus, OH 43214
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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. Edwin Alonso Vargas Velandia 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 ID8729392105
PECOS Enrollment IDI20170606002563
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 Reassignment

Medicare enrollment records show Edwin Vargas Velandia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ohiohealth Corporation
0.1 mi
Family Medicine
3535 OLENTANGY RIVER RD
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1578545273 (614) 533-5500

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 4

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.
135 services48 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
119 services51 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
65 services63 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.
46 services44 patients

Hospital Affiliations CMS Care Compare 4

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Ohiohealth O'bleness Hospital

Acute Care Hospitals · Athens, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360014
Location55 Hospital DriveAthens, OH 45701 · Athens County
Emergency services Birthing friendly

Berger Hospital

Acute Care Hospitals · Circleville, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360170
Location600 North Pickaway StreetCircleville, OH 43113 · Pickaway County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

CHRISTIAN SILVIO GRECO D.O.
Internal Medicine (Infectious Disease)
3555 OLENTANGY RIVER RD STE 3000
COLUMBUS, OH 43214
Franklin County (614) 788-5200
WISSAM SABBAGH MD
Internal Medicine (Infectious Disease)
3555 OLENTANGY RIVER RD STE 3000
COLUMBUS, OH 43214
Franklin County (614) 788-5200
DR. RIDHIMA MONGA MD
Internal Medicine (Infectious Disease)
3555 OLENTANGY RIVER RD STE 3000
COLUMBUS, OH 43214
Franklin County (614) 788-5200
IAN M. BAIRD MD
Internal Medicine (Infectious Disease)
3555 OLENTANGY RIVER RD STE 3000
COLUMBUS, OH 43214
Franklin County (614) 788-5200

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 Edwin Vargas Velandia's NPI number?

The NPI number for Edwin Vargas Velandia is 1073874939. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Edwin Vargas Velandia located?

Edwin Vargas Velandia practices at 3555 Olentangy River Rd Ste 3000, Columbus, OH 43214. The listed phone number is (614) 788-5200.

What is Edwin Vargas Velandia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Edwin Vargas Velandia enrolled in Medicare?

Yes. Edwin Vargas Velandia 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 organization bills Medicare for Edwin Vargas Velandia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Vargas Velandia reassigns Medicare benefits to Ohiohealth Corporation (Columbus, OH). The 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 Edwin Vargas Velandia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edwin Vargas Velandia accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Edwin Vargas Velandia 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 Edwin Vargas Velandia affiliated with any hospitals?

According to CMS data, Edwin Vargas Velandia is affiliated with Riverside Methodist Hospital, Ohiohealth O'bleness Hospital, Berger Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Edwin Vargas Velandia was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.