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PRAVEENA VENDOTI DHAWALE MD
NPI 1356371173
Pediatrics in Westerville, OH

Active since July 04, 2006PECOS Enrolled
82.53/100
CMS Quality Rating
625 AFRICA RD STE 300, WESTERVILLE, OH 43082(614) 882-9460(614) 882-9802 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Praveena Vendoti Dhawale Md NPPES

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

PRAVEENA VENDOTI DHAWALE MD (NPI 1356371173) is an individual pediatrics provider in Westerville, Ohio, licensed in Ohio (35.082260) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356371173
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePRAVEENA VENDOTI DHAWALECredential: MD
Location Address625 AFRICA RD STE 300Westerville, OH 43082-9830
Mailing Address625 Africa Rd Ste 300Westerville, OH 43082-9830 · (614) 882-9460 · Fax (614) 882-9802
Phone(614) 882-9460
Fax(614) 882-9802
Sole ProprietorYes
Enumeration DateJuly 4, 2006
Last NPPES UpdateApril 1, 2025
NPPES CertifiedApril 1, 2025
✔ NPI 1356371173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.082260
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
625 AFRICA RD STE 300, Westerville, OH 43082
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Other Identifiers 1

Medicaid2482853OH

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 (PECOS)

Praveena Vendoti Dhawale Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43082 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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 4

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

BRAD EDWARD FULLER MD
Pediatrics
625 AFRICA RD STE 300
WESTERVILLE, OH 43082
Delaware County (614) 882-9460
BENJAMIN WILLIAM COLE MD
Pediatrics
625 AFRICA RD STE 300
WESTERVILLE, OH 43082
Delaware County (614) 882-9460
ELLEN REBECCA TAMBURELLO MD
Pediatrics
625 AFRICA RD STE 300
WESTERVILLE, OH 43082
Delaware County (614) 882-9460
RAJENDRAKUMARI GAGLANI MD
Pediatrics
625 AFRICA RD STE 300
WESTERVILLE, OH 43082
Delaware County (614) 882-9460

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 Praveena Dhawale's NPI number?

The NPI number for Praveena Dhawale is 1356371173. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Praveena Dhawale located?

Praveena Dhawale practices at 625 Africa Rd Ste 300, Westerville, OH 43082. The listed phone number is (614) 882-9460.

What is Praveena Dhawale's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Praveena Dhawale enrolled in Medicare?

Yes. Praveena Dhawale is registered in the Medicare PECOS enrollment system.

What insurance does Praveena Dhawale accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Praveena Dhawale 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 Praveena Dhawale was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.