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URMIL B PANDYA M D
NPI 1619137601
Surgery - Trauma Surgery in Columbus, OH

Active since June 12, 2008PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
111 S GRANT AVE, TRAUMA SERVICES, COLUMBUS, OH 43215(614) 566-9489 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Urmil B Pandya M D NPPES

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

URMIL B PANDYA M D (NPI 1619137601) is an individual trauma surgery provider in Columbus, Ohio, licensed in Ohio (35.090070) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Grant Medical Center, and is a graduate of Northeastern Ohio University College Of Medicine (2002).

NPPES Registry Identity

NPI1619137601
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameURMIL B PANDYACredential: M D
Location Address111 S GRANT AVE, TRAUMA SERVICESColumbus, OH 43215-4701
Mailing Address5450 Frantz Rd Ste 360Dublin, OH 43016-4141
Phone(614) 566-9489
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2002
Enumeration DateJune 12, 2008
Last NPPES UpdateJanuary 5, 2022
✔ NPI 1619137601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License✔ Licensed in OH · 35.090070
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
111 S GRANT AVE, Columbus, OH 43215
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Other Identifiers 1

Medicaid2910925OH

Accepted Insurance

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

Urmil B Pandya 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 ID345399960
PECOS Enrollment IDI20090601000117
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 4

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.
74 services39 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.
27 services11 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.
13 services13 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.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

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

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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Referred Medical Equipment & Supplies CMS DME claims 2

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

Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier16 claims992 services$5.38 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
1 supplier15 claims465 services$3.24 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 20

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

DR. PRISCA MAYNARD M.D.
Internal Medicine
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-8883
AMANDA NICOLE NEWBURGER
Nurse Practitioner (Neonatal)
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9221
LINDA M BERTOLINI CRNA
Anesthesiology
111 S GRANT AVE, 3RD FLOOR
COLUMBUS, OH 43215
Franklin County (614) 566-8808
KARIE L MCLAUGHLIN CNP
Nurse Practitioner
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-8883
DR. SYEDA MARIAM SHAHID MD, MPH
Student in an Organized Health Care Education/Training Program
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9041
PARIS DAE KNIPP PA-C
Physician Assistant
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (740) 417-5607
DR. MARK BECKER M.D.
Radiology (Radiation Oncology)
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9506
ANUPAMA SUNDARAM M.D.
Pediatrics (Neonatal-Perinatal Medicine)
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9000

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 Urmil Pandya's NPI number?

The NPI number for Urmil Pandya is 1619137601. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Urmil Pandya located?

Urmil Pandya practices at 111 S Grant Ave Trauma Services, Columbus, OH 43215. The listed phone number is (614) 566-9489.

What is Urmil Pandya's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Urmil Pandya enrolled in Medicare?

Yes. Urmil Pandya 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 Urmil Pandya accept?

Health plans from CareSource and MedMutual list Urmil Pandya 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 Urmil Pandya affiliated with any hospitals?

According to CMS data, Urmil Pandya is affiliated with Grant Medical Center.

When was this NPI record last updated?

The NPPES record for Urmil Pandya was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.