1. Home
  2. Directory
  3. Ohio
  4. Columbus
  5. Internal Medicine
  6. NPI Profile

PRACHI SINGH BIYANI MD
NPI 1508185398
Internal Medicine - Gastroenterology in Columbus, OH

Active since May 19, 2010PECOS EnrolledAccepts Medicare Assignment
87.77/100
CMS Quality Rating
3400 OLENTANGY RIVER RD, COLUMBUS, OH 43202(614) 754-5500(614) 457-9519 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 2, 2023, Jul 11, 2022, Jan 25, 2017 and 1 more (4 updates tracked since 2016).

About Prachi Singh Biyani Md NPPES

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

PRACHI SINGH BIYANI MD (NPI 1508185398) is an individual gastroenterology provider in Columbus, Ohio, licensed in Ohio (35.121025) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1508185398
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NamePRACHI SINGH BIYANICredential: MD
Location Address3400 OLENTANGY RIVER RDColumbus, OH 43202-1523
Mailing Address6670 Perimeter Dr, Suite 200Dublin, OH 43016-8056 · (614) 754-5500 · Fax (614) 754-5501
Phone(614) 754-5500
Fax(614) 457-9519
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateMay 19, 2010
Last NPPES UpdateNovember 2, 20234 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1508185398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in OH · 35.121025
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3400 OLENTANGY RIVER RD, Columbus, OH 43202
Open in Google Maps ↗

Other Names 1

Former Name (1)Prachi Singh Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource 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

Prachi Singh Biyani 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 ID547564734
PECOS Enrollment IDI20160822001667
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 9

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
132 services131 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.
78 services65 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
68 services67 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
47 services46 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.
33 services33 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.
25 services25 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

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · 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

Memorial Hospital

Acute Care Hospitals · Marysville, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360092
Location500 London AvenueMarysville, OH 43040 · Union County
Emergency services Birthing friendly

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 43202 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.

87.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.17
Promoting Interoperability100
Improvement Activities40
Cost71.09

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.

DR. RUCHI BHATIA MD
Internal Medicine (Transplant Hepatology)
3400 OLENTANGY RIVER RD
COLUMBUS, OH 43202
Franklin County (614) 754-5500
CENTRAL OHIO ENDOSCOPY CENTER, LLC
Clinic/Center (Endoscopy)
3400 OLENTANGY RIVER RD
COLUMBUS, OH 43202
Franklin County (614) 754-5500
MR. ANTHONY J MICHAELS MD
Internal Medicine (Transplant Hepatology)
3400 OLENTANGY RIVER RD
COLUMBUS, OH 43202
Franklin County (614) 754-5500
DR. LEENA TARIGOPULA MD
Internal Medicine (Gastroenterology)
3400 OLENTANGY RIVER RD
COLUMBUS, OH 43202
Franklin County (614) 754-5500
ADAM JAMES HANJE M.D.
Internal Medicine (Gastroenterology)
3400 OLENTANGY RIVER RD
COLUMBUS, OH 43202
Franklin County (614) 754-5500
SARA JO DORAN CNP
Nurse Practitioner (Family)
3400 OLENTANGY RIVER RD
COLUMBUS, OH 43202
Franklin County (614) 754-5500
NICOLE SNYDER NP
Nurse Practitioner (Family)
3400 OLENTANGY RIVER RD, SUITE 100
COLUMBUS, OH 43202
Franklin County (614) 262-7426
MICHELLE CHRISTINE HAMILTON
Nurse Practitioner (Acute Care)
3400 OLENTANGY RIVER RD
COLUMBUS, OH 43202
Franklin County (614) 754-5500

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 Prachi Biyani's NPI number?

The NPI number for Prachi Biyani is 1508185398. It was assigned to this individual provider in the NPPES registry on May 19, 2010. The provider is also known as Prachi Singh MD.

Where is Prachi Biyani located?

Prachi Biyani practices at 3400 Olentangy River Rd, Columbus, OH 43202. The listed phone number is (614) 754-5500.

What is Prachi Biyani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Prachi Biyani enrolled in Medicare?

Yes. Prachi Biyani 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 Prachi Biyani accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 1 other insurer list Prachi Biyani 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 Prachi Biyani affiliated with any hospitals?

According to CMS data, Prachi Biyani is affiliated with Riverside Methodist Hospital, Grant Medical Center, Mount Carmel East & West, Memorial Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Prachi Biyani was last updated on November 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.