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RAJIV KHUSH SHETH M.D.
NPI 1104110337
Hospitalist in Columbus, OH

Active since June 06, 2011PECOS EnrolledAccepts Medicare Assignment
82.53/100
CMS Quality Rating
3555 OLENTANGY RIVER RD, SUITE 1080, COLUMBUS, OH 43214(614) 268-8164(614) 268-8406 Get Directions Write a Review

NPPES record last updated: October 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rajiv Khush Sheth M.d. NPPES

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

RAJIV KHUSH SHETH M.D. (NPI 1104110337) is an individual hospitalist provider in Columbus, Ohio, licensed in Ohio (35.122762) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (2011).

NPPES Registry Identity

NPI1104110337
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameRAJIV KHUSH SHETHCredential: M.D.
Location Address3555 OLENTANGY RIVER RD, SUITE 1080Columbus, OH 43214-3912
Mailing Address3555 Olentangy River Rd, Suite 1080Columbus, OH 43214-3912 · (614) 268-8164 · Fax (614) 268-8406
Phone(614) 268-8164
Fax(614) 268-8406
Sole ProprietorYes
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2011
Enumeration DateJune 6, 2011
Last NPPES UpdateOctober 8, 2014
✔ NPI 1104110337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OH · 35.122762
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.122762 (OH)
3555 OLENTANGY RIVER RD, Columbus, OH 43214
Open in Google Maps ↗

Other Identifiers 2

Medicaid0103564OH
Medicare PINH347011OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rajiv Khush Sheth 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 ID9830338763
PECOS Enrollment IDI20140812001609
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.

Areas of Expertise CMS Part B claims 5

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.
242 services120 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.
111 services71 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.
104 services102 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.
95 services95 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

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

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

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.

82.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.45
Improvement Activities40

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.

CARDIOTHORACIC AND VASCULAR SURGICAL SPECIALISTS, INC.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3555 OLENTANGY RIVER RD, SUITE 2060
COLUMBUS, OH 43214
Franklin County (614) 261-8377
DR. PATRICK M WALL M.D.
Pediatrics (Neonatal-Perinatal Medicine)
3555 OLENTANGY RIVER RD, SUITE 3050
COLUMBUS, OH 43214
Franklin County (614) 566-4731
ANIMESH SHARMA MD
Hospitalist
3555 OLENTANGY RIVER RD, SUITE 1080
COLUMBUS, OH 43214
Franklin County (614) 268-8164
PIERRE S BARUA M.D.
Hospitalist
3555 OLENTANGY RIVER RD, SUITE 1080
COLUMBUS, OH 43214
Franklin County (614) 268-8164
DR. WILLIAM SCOTT BOLZ M.D.
Orthopaedic Surgery
3555 OLENTANGY RIVER RD, SUITE 2010
COLUMBUS, OH 43214
Franklin County (614) 267-0374
DR. RUSKIN B LAWYER JR. M.D.
Orthopaedic Surgery
3555 OLENTANGY RIVER RD, STE 2010
COLUMBUS, OH 43214
Franklin County (614) 566-2540
VENKATESH CHIRRAVURI M.D.
Hospitalist
3555 OLENTANGY RIVER RD, SUITE 1080
COLUMBUS, OH 43214
Franklin County (614) 268-8164
GINA L TIERNEY CNP
Nurse Practitioner (Adult Health)
3555 OLENTANGY RIVER RD, SUITE 2050
COLUMBUS, OH 43214
Franklin County (614) 566-2450

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 Rajiv Sheth's NPI number?

The NPI number for Rajiv Sheth is 1104110337. It was assigned to this individual provider in the NPPES registry on June 6, 2011.

Where is Rajiv Sheth located?

Rajiv Sheth practices at 3555 Olentangy River Rd Suite 1080, Columbus, OH 43214. The listed phone number is (614) 268-8164.

What is Rajiv Sheth's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Rajiv Sheth enrolled in Medicare?

Yes. Rajiv Sheth 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.

What insurance does Rajiv Sheth accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Oscar Health Insurance list Rajiv Sheth 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 Rajiv Sheth affiliated with any hospitals?

According to CMS data, Rajiv Sheth is affiliated with Riverside Methodist Hospital, Ohio State University State Health System and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Rajiv Sheth was last updated on October 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.