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PARESH J TIMBADIA M.D.
NPI 1508849100
Internal Medicine - Pulmonary Disease in Columbus, OH

Active since November 28, 2005PECOS EnrolledAccepts Medicare Assignment
75.15/100
CMS Quality Rating
150 TAYLOR STATION RD STE 200, COLUMBUS, OH 43213(614) 627-1300(614) 627-1304 Get Directions Write a Review

NPPES record last updated: June 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paresh J Timbadia M.d. NPPES

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

PARESH J TIMBADIA M.D. (NPI 1508849100) is an individual pulmonary disease provider in Columbus, Ohio, licensed in Ohio (82953) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1508849100
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NamePARESH J TIMBADIACredential: M.D.
Location Address150 TAYLOR STATION RD STE 200Columbus, OH 43213-4470
Mailing Address150 Taylor Station Rd Ste 200Columbus, OH 43213-4470 · (614) 627-1300 · Fax (614) 627-1304
Phone(614) 627-1300
Fax(614) 627-1304
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateNovember 28, 2005
Last NPPES UpdateJune 8, 2025
NPPES CertifiedJune 8, 2025
✔ NPI 1508849100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in OH · 82953
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 82953 (OH)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 35-08-2953 (OH)
150 TAYLOR STATION RD STE 200, Columbus, OH 43213
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Other Names 1

Former Name (1)Paresh J. Patel M.d.

Secondary Practice Location 1

Location 1420 N James RdColumbus, OH 43219-1834 · Phone (614) 257-5436

Other Identifiers 1

Medicaid2428340OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., Oscar Health Insurance, UnitedHealthcare.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

Paresh J Timbadia M.d. 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 ID5799791257
PECOS Enrollment IDI20060228000357
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.

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.
104 services97 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
41 services29 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.
37 services31 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
21 services19 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.
16 services14 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Diley Ridge Medical Center

Acute Care Hospitals · Canal Winchester, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360358
Location7911 Diley RoadCanal Winchester, OH 43110 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43213 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.

75.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.24
Promoting Interoperability78
Improvement Activities40
Cost59.25

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
12 suppliers156 claims157 services$33.50 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
14 suppliers136 claims136 services$73.99 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
14 suppliers123 claims345 services$28.46 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
9 suppliers78 claims451 services$14.77 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
12 suppliers58 claims322 services$11.39 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
12 suppliers139 claims139 services$44.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

MOUNT CARMEL HEALTH SYSTEM
Clinic/Center (Sleep Disorder Diagnostic)
150 TAYLOR STATION RD STE 200
COLUMBUS, OH 43213
Franklin County (614) 627-1305
MR. SHOAIB SHAKEEL D.O.
Internal Medicine (Pulmonary Disease)
150 TAYLOR STATION RD STE 200
COLUMBUS, OH 43213
Franklin County (614) 627-1300
LARAMIE BURDEN
Nurse Practitioner
150 TAYLOR STATION RD STE 200
COLUMBUS, OH 43213
Franklin County (614) 627-1300
JENNIFER LYNN SULLIVAN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
150 TAYLOR STATION RD STE 200
COLUMBUS, OH 43213
Franklin County (614) 627-1300
MR. ADAM SOLLIDAY APRN-CNP
Nurse Practitioner (Acute Care)
150 TAYLOR STATION RD STE 200
COLUMBUS, OH 43213
Franklin County (614) 627-1300

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 Paresh Timbadia's NPI number?

The NPI number for Paresh Timbadia is 1508849100. It was assigned to this individual provider in the NPPES registry on November 28, 2005. The provider is also known as Paresh J. Patel M.D..

Where is Paresh Timbadia located?

Paresh Timbadia practices at 150 Taylor Station Rd Ste 200, Columbus, OH 43213. The listed phone number is (614) 627-1300.

What is Paresh Timbadia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Paresh Timbadia enrolled in Medicare?

Yes. Paresh Timbadia 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 Paresh Timbadia accept?

Health plans from Antidote Health Plan of Ohio, Inc., Oscar Health Insurance and UnitedHealthcare list Paresh Timbadia 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 Paresh Timbadia affiliated with any hospitals?

According to CMS data, Paresh Timbadia is affiliated with Mount Carmel St Ann's, Mount Carmel East & West and Diley Ridge Medical Center.

When was this NPI record last updated?

The NPPES record for Paresh Timbadia was last updated on June 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.