DR. VINAY K RATHI MD
NPI 1437513694
Otolaryngology in Columbus, OH
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Vinay Rathi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, OH 43212
- Reassigned Medicare billing, Ohio enrollment
- 65 clinicians in this Medicare group
Charleston, SC 29414
- Reassigned Medicare billing, South Carolina enrollment
- Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
- 2,594 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.
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.
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, OHPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Vinay Rathi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vinay Rathi reassigns Medicare benefits to 2 organizations: Osu Otolaryngology Head And Neck Surgery LLC (Columbus, OH) and University Medical Associates (Charleston, SC). 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 Vinay Rathi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vinay Rathi accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Vinay K Rathi, MD · NPI 1437513694
Otolaryngology physician in Columbus, Ohio. Individual provider, active in the CMS NPPES registry since April 13, 2016.
## Identity
- **NPI:** 1437513694 (Entity type: Individual)
- **Enumerated:** April 13, 2016
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 35.150305 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 915 OLENTANGY RIVER RD STE 4000, Columbus, OH 43212-3154
- **Phone:** (614) 366-3687 · **Fax:** (614) 293-9698
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Osu Otolaryngology Head And Neck Surgery LLC (NPI 1861449407, Columbus, OH); University Medical Associates (NPI 1760413835, Charleston, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Yale University School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** July 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1437513694) · Data from the CMS NPPES public registry.