MITALI A PAKVASA
NPI 1235453994
Pediatrics - Neonatal-Perinatal Medicine in Columbus, OH

Active since March 23, 2010PECOS Enrolled
111 S GRANT AVE, COLUMBUS, OH 43215(614) 566-9000 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 20, 2023, Jul 13, 2021 (2 updates tracked since 2021).

About Mitali A Pakvasa NPPES

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

MITALI A PAKVASA (NPI 1235453994) is an individual neonatal-perinatal medicine provider in Columbus, Ohio, licensed in Ohio (35.138675) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1235453994
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameMITALI A PAKVASA
Location Address111 S GRANT AVEColumbus, OH 43215-4701
Mailing Address285 E State StreetColumbus, OH 43215-4354 · (614) 566-9683
Sole ProprietorNo
Enumeration DateMarch 23, 2010
Last NPPES UpdateJuly 20, 20232 updates tracked since enumeration
NPPES CertifiedJuly 20, 2023
✔ NPI 1235453994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in OH · 35.138675
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
111 S GRANT AVE, Columbus, OH 43215

Secondary Practice Locations 5

Location 16001 E Broad StColumbus, OH 43213-1502 · Phone (614) 234-6000
Location 25300 N Meadows DrGrove City, OH 43123-2546 · Phone (614) 663-5000
Location 3700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-2000
Location 45100 W Broad StColumbus, OH 43228-1607 · Phone (614) 544-1000
Location 51010 Refugee RdPickerington, OH 43147-9653 · Phone (614) 788-4000

Other Identifiers 1

Medicaid0400911OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitali A Pakvasa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Mitali Pakvasa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Internal Medicine
111 S GRANT AVE
COLUMBUS, OH 43215
Nurse Practitioner (Neonatal)
111 S GRANT AVE
COLUMBUS, OH 43215
Anesthesiology
111 S GRANT AVE, 3RD FLOOR
COLUMBUS, OH 43215
Nurse Practitioner
111 S GRANT AVE
COLUMBUS, OH 43215
Student in an Organized Health Care Education/Training Program
111 S GRANT AVE
COLUMBUS, OH 43215
Physician Assistant
111 S GRANT AVE
COLUMBUS, OH 43215
Radiology (Radiation Oncology)
111 S GRANT AVE
COLUMBUS, OH 43215
Pediatrics (Neonatal-Perinatal Medicine)
111 S GRANT AVE
COLUMBUS, OH 43215

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 Mitali Pakvasa's NPI number?

The NPI number for Mitali Pakvasa is 1235453994. It was assigned to this individual provider in the NPPES registry on March 23, 2010.

Where is Mitali Pakvasa located?

Mitali Pakvasa practices at 111 S Grant Ave, Columbus, OH 43215. The listed phone number is (614) 566-9000.

What is Mitali Pakvasa's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Mitali Pakvasa enrolled in Medicare?

Yes. Mitali Pakvasa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mitali Pakvasa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mitali Pakvasa reassigns Medicare benefits to 2 organizations: Pediatric Academic Association, Inc. (Columbus, OH) and Emory Medical Care Foundation Inc (Atlanta, GA). Each 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 Mitali Pakvasa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mitali Pakvasa accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and Molina Healthcare list Mitali Pakvasa 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.

When was this NPI record last updated?

The NPPES record for Mitali Pakvasa was last updated on July 20, 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.