DR. YOGEESH HEROHALLY SHIVARAMAI PRABHU MBBS, MD
NPI 1215285689
Internal Medicine in Columbus, OH

Active since August 16, 2012PECOS EnrolledAccepts Medicare Assignment
82.53/100
CMS Quality Rating
5969 E BROAD ST, COLUMBUS, OH 43213(718) 613-4000(718) 613-4101 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2020, Dec 20, 2017 (2 updates tracked since 2017).

About Dr. Yogeesh Herohally Shivaramai Prabhu Mbbs, Md NPPES

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

DR. YOGEESH HEROHALLY SHIVARAMAI PRABHU MBBS, MD (NPI 1215285689) is an individual internal medicine provider in Columbus, Ohio, licensed in Ohio (35.121800) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1215285689
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. YOGEESH HEROHALLY SHIVARAMAI PRABHUCredential: MBBS, MD
Location Address5969 E BROAD STColumbus, OH 43213-1546
Mailing Address2217 Aschinger BlvdColumbus, OH 43212-2682 · (917) 657-3007
Fax(718) 613-4101
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 16, 2012
Last NPPES UpdateJanuary 3, 20202 updates tracked since enumeration
NPI 1215285689 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 · 35.121800
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.
5969 E BROAD ST, Columbus, OH 43213

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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. Yogeesh Herohally Shivaramai Prabhu Mbbs, 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 ID5991939589
PECOS Enrollment IDI20131015001082
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 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.

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.
148 services148 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.
37 services21 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.
21 services12 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.
13 services13 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

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

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 43213 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

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%144 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$13.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers34 claims34 services$65.72 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.

Nurse Practitioner (Acute Care)
5969 E BROAD ST
COLUMBUS, OH 43213
Urology
5969 E BROAD ST, SUITE 330
COLUMBUS, OH 43213
Specialist
5969 E BROAD ST, SUITE 201
COLUMBUS, OH 43213
Orthopaedic Surgery
5969 E BROAD ST, #402
COLUMBUS, OH 43213
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5969 E BROAD ST
COLUMBUS, OH 43213
Internal Medicine
5969 E BROAD ST
COLUMBUS, OH 43213
Audiologist
5969 E BROAD ST, SUITE 302
COLUMBUS, OH 43213
Internal Medicine (Cardiovascular Disease)
5969 E BROAD ST, SUITE 202
COLUMBUS, OH 43213

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 Yogeesh Prabhu's NPI number?

The NPI number for Yogeesh Prabhu is 1215285689. It was assigned to this individual provider in the NPPES registry on August 16, 2012.

Where is Yogeesh Prabhu located?

Yogeesh Prabhu practices at 5969 E Broad St, Columbus, OH 43213. The listed phone number is (718) 613-4000.

What is Yogeesh Prabhu's specialty?

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

Is Yogeesh Prabhu enrolled in Medicare?

Yes. Yogeesh Prabhu 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 Yogeesh Prabhu accept?

Health plans from CareSource, MedMutual and Oscar Health Insurance list Yogeesh Prabhu 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 Yogeesh Prabhu affiliated with any hospitals?

According to CMS data, Yogeesh Prabhu is affiliated with Riverside Methodist Hospital, Mount Carmel St Ann's, Mount Carmel East & West and Mount Carmel New Albany Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Yogeesh Prabhu was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.