DR. VINAY K RATHI MD
NPI 1437513694
Otolaryngology in Columbus, OH

Active since April 13, 2016PECOS EnrolledAccepts Medicare Assignment
73.84/100
CMS Quality Rating
915 OLENTANGY RIVER RD STE 4000, COLUMBUS, OH 43212(614) 366-3687(614) 293-9698 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Vinay K Rathi Md NPPES

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

DR. VINAY K RATHI MD (NPI 1437513694) is an individual otolaryngology provider in Columbus, Ohio, licensed in Ohio (35.150305) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1437513694
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. VINAY K RATHICredential: MD
Location Address915 OLENTANGY RIVER RD STE 4000Columbus, OH 43212-3154
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 366-3687 · Fax (614) 293-9698
Fax(614) 293-9698
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2016
Enumeration DateApril 13, 2016
Last NPPES UpdateJuly 19, 2024
NPPES CertifiedJuly 19, 2024
NPI 1437513694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in OH · 35.150305 Licensed in SC · MMD.90201
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

915 OLENTANGY RIVER RD STE 4000, Columbus, OH 43212

Secondary Practice Location 1

Location 1135 Rutledge Ave Ste 1130Charleston, SC 29425-3002 · Phone (843) 876-0791

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. Vinay K Rathi 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 ID5698060119
PECOS Enrollment IDI20240912003586
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

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.

Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
24 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43212 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

73.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.28
Promoting Interoperability99
Improvement Activities40
Cost53.36

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.

Allergy & Immunology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Nurse Practitioner (Adult Health)
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212

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 Vinay Rathi's NPI number?

The NPI number for Vinay Rathi is 1437513694. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Vinay Rathi located?

Vinay Rathi practices at 915 Olentangy River Rd Ste 4000, Columbus, OH 43212. The listed phone number is (614) 366-3687.

What is Vinay Rathi's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Vinay Rathi enrolled in Medicare?

Yes. Vinay Rathi 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 Vinay Rathi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Vinay Rathi 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 Vinay Rathi affiliated with any hospitals?

According to CMS data, Vinay Rathi is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Vinay Rathi was last updated on July 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.