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DR. VINAY MULKANOOR D.O.
NPI 1457793150
Internal Medicine - Nephrology in Westerville, OH

Active since July 23, 2013PECOS EnrolledAccepts Medicare Assignment
83.63/100
CMS Quality Rating
595 COPELAND MILL RD STE 2D, WESTERVILLE, OH 43081(614) 823-8500 Get Directions Write a Review

NPPES record last updated: August 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2018, Jun 16, 2016 (2 updates tracked since 2016).

About Dr. Vinay Mulkanoor D.o. NPPES

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

DR. VINAY MULKANOOR D.O. (NPI 1457793150) is an individual nephrology provider in Westerville, Ohio, licensed in Ohio (34.013331) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2013).

NPPES Registry Identity

NPI1457793150
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. VINAY MULKANOORCredential: D.O.
Location Address595 COPELAND MILL RD STE 2DWesterville, OH 43081
Mailing AddressPo Box 689, Lehigh Valley Health Network, Dept Of MedicineAllentown, PA 18105-1556 · (484) 862-3170
Phone(614) 823-8500
Sole ProprietorYes
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2013
Enumeration DateJuly 23, 2013
Last NPPES UpdateAugust 28, 20182 updates tracked since enumeration
✔ NPI 1457793150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in OH · 34.013331
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
595 COPELAND MILL RD STE 2D, Westerville, OH 43081
Open in Google Maps ↗

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

Dr. Vinay Mulkanoor 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 ID8325330368
PECOS Enrollment IDI20180723001999
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 8

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 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.
331 services109 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
259 services171 patients
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.
99 services67 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.
70 services67 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
25 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services20 patients

Hospital Affiliations CMS Care Compare 4

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

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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43081 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.

83.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.87
Improvement Activities40
Cost75.6

Other Providers at the Same Location NPPES 3

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

JORDAN LESHNOCK APRN, CNP
Nurse Practitioner (Acute Care)
595 COPELAND MILL RD STE 2D
WESTERVILLE, OH 43081
Franklin County (614) 823-8500
DR. JOSHUA EDWIN BITTER D.O.
Internal Medicine (Nephrology)
595 COPELAND MILL RD STE 2D
WESTERVILLE, OH 43081
Franklin County (614) 823-8500
DR. LUIS FERNANDO SOTO III MD
Internal Medicine (Nephrology)
595 COPELAND MILL RD STE 2D
WESTERVILLE, OH 43081
Franklin County (614) 823-8500

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 Mulkanoor's NPI number?

The NPI number for Vinay Mulkanoor is 1457793150. It was assigned to this individual provider in the NPPES registry on July 23, 2013.

Where is Vinay Mulkanoor located?

Vinay Mulkanoor practices at 595 Copeland Mill Rd Ste 2D, Westerville, OH 43081. The listed phone number is (614) 823-8500.

What is Vinay Mulkanoor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Vinay Mulkanoor enrolled in Medicare?

Yes. Vinay Mulkanoor 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 Mulkanoor accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare and 2 other insurers list Vinay Mulkanoor 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 Mulkanoor affiliated with any hospitals?

According to CMS data, Vinay Mulkanoor is affiliated with Mount Carmel St Ann's, Mount Carmel East & West, Fairfield Medical Center and Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Vinay Mulkanoor was last updated on August 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.