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DR. SAMATHA PALADUGU M.D.
NPI 1154635753
Internal Medicine in Columbus, OH

Active since August 06, 2010PECOS 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: April 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samatha Paladugu M.d. NPPES

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

DR. SAMATHA PALADUGU M.D. (NPI 1154635753) is an individual internal medicine provider in Columbus, Ohio, licensed in Ohio (35120732) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1154635753
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SAMATHA PALADUGUCredential: M.D.
Location Address3555 OLENTANGY RIVER RD, SUITE 1080Columbus, OH 43214-3912
Mailing Address3555 Olentangy River Rd, Suite1080Columbus, OH 43214-3912 · (614) 268-8164 · Fax (614) 268-8406
Phone(614) 268-8164
Fax(614) 268-8406
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 6, 2010
Last NPPES UpdateApril 14, 2015
✔ NPI 1154635753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35120732
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3555 OLENTANGY RIVER RD, Columbus, OH 43214
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Other Identifiers 2

Medicaid0087084OH
Medicare PINH240450OH

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

Dr. Samatha Paladugu 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 ID648413948
PECOS Enrollment IDI20130906000151
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 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.
204 services109 patients
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.
107 services59 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.
67 services66 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.
33 services32 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County
Emergency services Birthing friendly

Mount Carmel New Albany Surgical Hospital

Acute Care Hospitals · New Albany, OH
OwnershipProprietary
CMS Certification Number360266
Location7333 Smith's Mill RoadNew Albany, OH 43054 · Franklin County

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 Samatha Paladugu's NPI number?

The NPI number for Samatha Paladugu is 1154635753. It was assigned to this individual provider in the NPPES registry on August 6, 2010.

Where is Samatha Paladugu located?

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

What is Samatha Paladugu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Samatha Paladugu enrolled in Medicare?

Yes. Samatha Paladugu 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 Samatha Paladugu accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare and 1 other insurer list Samatha Paladugu 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 Samatha Paladugu affiliated with any hospitals?

According to CMS data, Samatha Paladugu is affiliated with Mount Carmel St Ann's and Mount Carmel New Albany Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Samatha Paladugu was last updated on April 14, 2015. 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.