1. Home
  2. Directory
  3. Ohio
  4. Westerville
  5. Surgery
  6. NPI Profile

DR. SHILPA A PADIA M.D.
NPI 1760799175
Surgery in Westerville, OH

Active since September 07, 2010PECOS EnrolledAccepts Medicare Assignment
75.15/100
CMS Quality Rating
495 COOPER RD STE 400, WESTERVILLE, OH 43081(146) 627-1420(614) 865-9800 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shilpa A Padia M.d. NPPES

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

DR. SHILPA A PADIA M.D. (NPI 1760799175) is an individual surgery provider in Westerville, Ohio, licensed in Ohio (35-121545) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and is a graduate of Northeastern Ohio University College Of Medicine (2008).

NPPES Registry Identity

NPI1760799175
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. SHILPA A PADIACredential: M.D.
Location Address495 COOPER RD STE 400Westerville, OH 43081-8730
Mailing Address495 Cooper Rd Ste 400Westerville, OH 43081-8730 · (614) 627-1420 · Fax (614) 865-9800
Phone(146) 627-1420
Fax(614) 865-9800
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2008
Enumeration DateSeptember 7, 2010
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedFebruary 10, 2022
✔ NPI 1760799175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in OH · 35-121545✔ Licensed in OH · 35.121545
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
495 COOPER RD STE 400, Westerville, OH 43081
Open in Google Maps ↗

Accepted Insurance

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

Dr. Shilpa A Padia 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 ID3678793163
PECOS Enrollment IDI20141006000169
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 7

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.
44 services40 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services31 patients
X-ray of surgical specimen 76098
An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.
26 services26 patients
Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm 14001
This procedure involves treating a wound on the body by moving skin from one area to another. The transferred skin, ranging from 10.1-30.0 sq cm, helps cover and heal the wound. It's a common way to promote healing for large or deep wounds.
24 services23 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
22 services21 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.
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

Mount Carmel New Albany Surgical Hospital

Acute Care Hospitals · New Albany, OH
OwnershipProprietary
CMS Certification Number360266
Location7333 Smith's Mill RoadNew Albany, OH 43054 · Franklin County

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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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

Other Providers at the Same Location NPPES 2

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

LAURA MARCON
Nurse Practitioner (Family)
495 COOPER RD STE 400
WESTERVILLE, OH 43081
Franklin County (614) 865-9200
SAMANTHA STRAWSER PA-C
Physician Assistant
495 COOPER RD STE 400
WESTERVILLE, OH 43081
Franklin County (614) 627-1420

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 Shilpa Padia's NPI number?

The NPI number for Shilpa Padia is 1760799175. It was assigned to this individual provider in the NPPES registry on September 7, 2010.

Where is Shilpa Padia located?

Shilpa Padia practices at 495 Cooper Rd Ste 400, Westerville, OH 43081. The listed phone number is (146) 627-1420.

What is Shilpa Padia's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Shilpa Padia enrolled in Medicare?

Yes. Shilpa Padia 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 Shilpa Padia accept?

Health plans from Oscar Health Insurance and UnitedHealthcare list Shilpa Padia 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 Shilpa Padia affiliated with any hospitals?

According to CMS data, Shilpa Padia is affiliated with Mount Carmel St Ann's, Mount Carmel East & West and Mount Carmel New Albany Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Shilpa Padia was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.