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PERIAKARUPPAN VAIRAVAN MANICKAM MD
NPI 1609261395
Radiology - Neuroradiology in Columbus, OH

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment
395 W 12TH AVE FL 4, COLUMBUS, OH 43210(614) 293-8315(614) 293-6935 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2025, Jan 9, 2025 (2 updates tracked since 2025).

About Periakaruppan Vairavan Manickam Md NPPES

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

PERIAKARUPPAN VAIRAVAN MANICKAM MD (NPI 1609261395) is an individual neuroradiology provider in Columbus, Ohio, licensed in Ohio (35.152863) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Wooster Community Hospital, and maintains a secondary practice location in Stanford.

NPPES Registry Identity

NPI1609261395
Entity TypeIndividualMale
Primary Taxonomy2085N0700X
Provider Legal NamePERIAKARUPPAN VAIRAVAN MANICKAMCredential: MD
Location Address395 W 12TH AVE FL 4Columbus, OH 43210-1267
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-8315 · Fax (614) 293-6935
Phone(614) 293-8315
Fax(614) 293-6935
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2014
Enumeration DateMarch 31, 2015
Last NPPES UpdateMay 23, 20252 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1609261395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0700X
License✔ Licensed in OH · 35.152863
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 390200000X (PA)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License A188792 (CA)
395 W 12TH AVE FL 4, Columbus, OH 43210
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Other Names 1

Other Name (5)Vairavan Manickam M.d.

Secondary Practice Location 1

Location 1300 Pasteur DrStanford, CA 94305-2200 · Phone (650) 723-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Periakaruppan Vairavan Manickam 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 ID9032413596
PECOS Enrollment IDI20250603003359, I20250708004222
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.

Medicare Billing Reassignment

Medicare enrollment records show Periakaruppan Manickam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Osu Radiology LLC
0.2 mi
Diagnostic Radiology
520 W 10TH AVE
Columbus, OH 43210
  • Reassigned Medicare billing, Ohio and Texas enrollments
  • 163 clinicians in this Medicare group
NPI 1912956814 (614) 293-8315

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 4

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

Wooster Community Hospital

Acute Care Hospitals · Wooster, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360036
Location1761 Beall AvenueWooster, OH 44691 · Wayne County
Emergency services Birthing friendly

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

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Mary Rutan Hospital

Acute Care Hospitals · Bellefontaine, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360197
Location205 Palmer AvenueBellefontaine, OH 43311 · Logan County
Emergency services Birthing friendly

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.

KRISTA FRIED DO
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 4
COLUMBUS, OH 43210
Franklin County (614) 366-3214
UDIT CHATTERJEE
Radiology (Diagnostic Radiology)
395 W 12TH AVE FL 4
COLUMBUS, OH 43210
Franklin County (614) 366-0768
ERIC PAUL CRITCHLEY M.D
Radiology (Diagnostic Radiology)
395 W 12TH AVE FL 4
COLUMBUS, OH 43210
Franklin County (614) 293-8315
MR. ERIC ALEXANDER MILLER MD
Radiology (Neuroradiology)
395 W 12TH AVE FL 4
COLUMBUS, OH 43210
Franklin County (614) 293-8315
HUNTER LAWRENCE GAZDA DO
Radiology (Vascular & Interventional Radiology)
395 W 12TH AVE FL 4
COLUMBUS, OH 43210
Franklin County (614) 366-0768
DR. JENESSA BLOTTER LEMON DO
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 4
COLUMBUS, OH 43210
Franklin County (614) 366-0768
DR. EPHRAIM L HOLLANDER M.D.
Radiology (Diagnostic Radiology)
395 W 12TH AVE FL 4
COLUMBUS, OH 43210
Franklin County (614) 293-8315
ZACHARY SMOTZER MD
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 4
COLUMBUS, OH 43210
Franklin County (614) 366-0768

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 Periakaruppan Manickam's NPI number?

The NPI number for Periakaruppan Manickam is 1609261395. It was assigned to this individual provider in the NPPES registry on March 31, 2015. The provider is also known as Vairavan Manickam M.D..

Where is Periakaruppan Manickam located?

Periakaruppan Manickam practices at 395 W 12th Ave Fl 4, Columbus, OH 43210. The listed phone number is (614) 293-8315.

What is Periakaruppan Manickam's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Is Periakaruppan Manickam enrolled in Medicare?

Yes. Periakaruppan Manickam 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 organization bills Medicare for Periakaruppan Manickam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Periakaruppan Manickam reassigns Medicare benefits to Osu Radiology LLC (Columbus, OH). The 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 Periakaruppan Manickam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Periakaruppan Manickam accept?

Health plans from CareSource list Periakaruppan Manickam 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 Periakaruppan Manickam affiliated with any hospitals?

According to CMS data, Periakaruppan Manickam is affiliated with Wooster Community Hospital, Ohio State University State Health System, Adena Regional Medical Center and Mary Rutan Hospital.

When was this NPI record last updated?

The NPPES record for Periakaruppan Manickam was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.