SAURABH RAJPAL MD
NPI 1194956482
Internal Medicine - Adult Congenital Heart Disease in Columbus, OH

Q: What is Saurabh Rajpal's NPI number?

The NPI number for Saurabh Rajpal is 1194956482. It was assigned to this individual provider in the NPPES registry on August 4, 2009.

Q: What is Saurabh Rajpal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adult Congenital Heart Disease, with taxonomy code 207RA0002X.

Q: When was this NPI record last updated?

The NPPES record for Saurabh Rajpal was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since August 04, 2009PECOS EnrolledAccepts Medicare Assignment

95.31/100

CMS Quality Rating

452 W 10TH AVE, COLUMBUS, OH 43210(614) 293-4299(614) 293-2867 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2024, Aug 16, 2024, Feb 11, 2022 and 7 more (10 updates tracked since 2017).

On this page

About Saurabh Rajpal Md NPPES

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

SAURABH RAJPAL MD (NPI 1194956482) is an individual adult congenital heart disease provider in Columbus, Ohio, licensed in Ohio (35131545) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and maintains 15 additional practice locations.

NPPES Registry Identity

NPI1194956482

Entity TypeIndividualMale

Primary Taxonomy207RA0002X

Provider Legal NameSAURABH RAJPALCredential: MD

Location Address452 W 10TH AVEColumbus, OH 43210-1240

Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-4299

Phone(614) 293-4299

Fax(614) 293-2867

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateAugust 4, 2009

Last NPPES UpdateApril 22, 202510 updates tracked since enumeration

NPPES CertifiedApril 22, 2025

✔ NPI 1194956482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Adult Congenital Heart DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RA0002X

License✔ Licensed in OH · 35131545

Definition

A physician who specializes in the care and treatment of adults with congenital heart disease. Adult congenital heart disease (ACHD) physicians are trained to understand the complexities of congenital heart disease, anatomy, physiology, surgical repairs, and long-term complications and use that to manage ACHD with acquired heart disease, including heart failure, arrhythmias, and pulmonary hypertension.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35-131545 (OH)

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License 35131545 (OH)

452 W 10TH AVE, Columbus, OH 43210

Open in Google Maps ↗

Secondary Practice Locations 15

Location 1700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-6200

Location 2536 S Trimble RdMansfield, OH 44906-3418 · Phone (614) 722-2555

Location 311 John Lloyd Evans Memorial DrNelsonville, OH 45764-2523 · Phone (614) 722-2555

Location 44439 State Route 159 Ste G10Chillicothe, OH 45601-7708 · Phone (614) 722-2555

Location 51818 Chapel DrFindlay, OH 45840-1335 · Phone (614) 722-2555

Location 61069 Delaware AveMarion, OH 43302-1400 · Phone (740) 387-7777

Location 75665 Venture DrDublin, OH 43017-2159 · Phone (614) 355-8480

Location 87901 Diley RdCanal Winchester, OH 43110-9612 · Phone (614) 355-9050

Location 9830 W High StLima, OH 45801-3971 · Phone (419) 226-9694

Location 1026 Hospital DrAthens, OH 45701-2471 · Phone (614) 722-2530 · Fax (614) 722-5995

Location 111 Childrens PlzDayton, OH 45404-1873 · Phone (614) 722-6200

Location 121711 27th StPortsmouth, OH 45662-2654 · Phone (614) 722-2555

Location 137853 Pacer DrDelaware, OH 43015-7571 · Phone (614) 722-6200

Location 14455 Executive Campus DrWesterville, OH 43082-8870 · Phone (614) 722-6200

Location 15740 Adair AveZanesville, OH 43701-2838 · Phone (614) 722-2555

Other Identifiers 1

Medicaid0227548OH

Accepted Insurance

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

Saurabh Rajpal Md 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 ID3971873142

PECOS Enrollment IDI20170720001149, I20260424002512

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 13

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.

91 services36 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

62 services48 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

32 services29 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.

26 services24 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

19 services19 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

17 services17 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.

17 services17 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.

16 services16 patients

Ultrasound of heart for congenital defect 93303

An ultrasound of the heart, also known as an echocardiogram, is a test that uses sound waves to create pictures of your heart. This test can help doctors identify any congenital heart defects, which are heart conditions present at birth. It's a safe, non-invasive procedure.

14 services14 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

14 services14 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

14 services11 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

14 services11 patients

Mri scan of heart before and after contrast 75561

An MRI scan of the heart with contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed pictures of your heart. The contrast dye improves the clarity of these images. This test helps in diagnosing heart conditions.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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 East & West

Acute Care Hospitals · Columbus, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360035

Location6001 East Broad StreetColumbus, OH 43213 · 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

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

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

Quality

76.58

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg J7686

DME-Drugs Administered Through DME · category DG004N

4 suppliers45 claims1,260 services$549.79 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers43 claims43 services$26.11 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.

DR. KONSTANTINOS D BOUDOULAS M.D.

Internal Medicine (Interventional Cardiology)