PAUL HE D.O.
NPI 1346502648
Internal Medicine in Columbus, OH

Q: What is Paul He's NPI number?

The NPI number for Paul He is 1346502648. It was assigned to this individual provider in the NPPES registry on June 12, 2012.

Q: What is Paul He's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Paul He was last updated on June 1, 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.

Active since June 12, 2012PECOS EnrolledAccepts Medicare Assignment

82.53/100

CMS Quality Rating

3555 OLENTANGY RIVER ROAD, SUITE 1080, COLUMBUS, OH 43214(614) 268-8164(614) 268-8406 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Paul He D.o. NPPES

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

PAUL HE D.O. (NPI 1346502648) is an individual internal medicine provider in Columbus, Ohio, licensed in Ohio (34011777) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Nova Southeastern Univ College Of Dental Medicine (2012).

NPPES Registry Identity

NPI1346502648

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NamePAUL HECredential: D.O.

Location Address3555 OLENTANGY RIVER ROAD, SUITE 1080Columbus, OH 43214-3984

Mailing Address3555 Olentangy River Road, Suite 1080Columbus, OH 43214-3984 · (614) 268-8164 · Fax (614) 268-8406

Phone(614) 268-8164

Fax(614) 268-8406

Sole ProprietorYes

Medical School CMSNova Southeastern Univ College Of Dental MedicineGraduated 2012

Enumeration DateJune 12, 2012

Last NPPES UpdateJune 1, 2023

NPPES CertifiedJune 1, 2023

✔ NPI 1346502648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OH · 34011777

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.

Also ListedHospitalistTaxonomy 208M00000X · License 34.011777 (OH)

3555 OLENTANGY RIVER ROAD, Columbus, OH 43214

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Other Identifiers 1

Medicaid0126692OH

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

Paul He D.o. 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 ID2264747518

PECOS Enrollment IDI20150814013341

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.

254 services121 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.

237 services110 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.

115 services114 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.

52 services52 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.

17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

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

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

Quality

79.45

Improvement Activities

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KELLY ANN MEXICOTT NURSE PRACTITIONER N

Nurse Practitioner

3555 OLENTANGY RIVER ROAD, NATIONWIDE CHILDRENS HOSPITAL AT RIVERSIDE METHODIST HO
COLUMBUS, OH 43214

Franklin County (614) 566-5366

DR. KEVIN P MCANINCH D.O.

Internal Medicine

3555 OLENTANGY RIVER ROAD, SUITE 1080
COLUMBUS, OH 43214

Franklin County (614) 268-8134

THOMAS HEWITT COLEMAN MD

Allergy & Immunology

3555 OLENTANGY RIVER ROAD, SUITE #3090
COLUMBUS, OH 43214

Franklin County (614) 267-9263

BOYD D CURTIS M.D.

Internal Medicine

3555 OLENTANGY RIVER ROAD, SUITE 1080
COLUMBUS, OH 43214

Franklin County (614) 268-8164

DR. THOMAS JOHN PARKER M.D.

Internal Medicine (Pulmonary Disease)

3555 OLENTANGY RIVER ROAD, SUITE 3070
COLUMBUS, OH 43214

Franklin County (614) 566-2166

BRET WIEGMAN CNP

Nurse Practitioner (Acute Care)

3555 OLENTANGY RIVER ROAD, SUITE 1080
COLUMBUS, OH 43214

Franklin County (614) 268-8164

SVETLANA T NOVAK M.D.

Internal Medicine

3555 OLENTANGY RIVER ROAD, SUITE 1080
COLUMBUS, OH 43214

Franklin County (614) 268-8164

DR. RAVIKIRAN BELLALA M.D.

Internal Medicine

3555 OLENTANGY RIVER ROAD, SUITE 1080
COLUMBUS, OH 43214

Franklin County (614) 268-8164

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 Paul He's NPI number?

The NPI number for Paul He is 1346502648. It was assigned to this individual provider in the NPPES registry on June 12, 2012.

Where is Paul He located?

Paul He practices at 3555 Olentangy River Road Suite 1080, Columbus, OH 43214. The listed phone number is (614) 268-8164.

What is Paul He's specialty?

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

Is Paul He enrolled in Medicare?

Yes. Paul He 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 Paul He accept?

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

According to CMS data, Paul He is affiliated with Riverside Methodist Hospital, Mount Carmel St Ann's, Ohio State University State Health System, Mount Carmel New Albany Surgical Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Paul He was last updated on June 1, 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.