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SUSMITHA P. KOLLI MD
NPI 1871582288
Ophthalmology in Lancaster, OH

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment
1500 E MAIN ST, LANCASTER, OH 43130(740) 653-3527(740) 356-3509 Get Directions Write a Review

NPPES record last updated: January 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susmitha P. Kolli Md NPPES

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

SUSMITHA P. KOLLI MD (NPI 1871582288) is an individual ophthalmology provider in Lancaster, Ohio, licensed in Ohio (35-06-8263-K) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Fairfield Medical Center, and is a graduate of University Of Chicago, Pritzker School Of Medicine (1993).

NPPES Registry Identity

NPI1871582288
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameSUSMITHA P. KOLLICredential: MD
Location Address1500 E MAIN STLancaster, OH 43130-3478
Mailing Address1500 E Main StLancaster, OH 43130-3478 · (740) 653-3527 · Fax (740) 356-3509
Phone(740) 653-3527
Fax(740) 356-3509
Sole ProprietorYes
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1993
Enumeration DateOctober 18, 2005
Last NPPES UpdateJanuary 16, 2017
✔ NPI 1871582288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in OH · 35-06-8263-K
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1500 E MAIN ST, Lancaster, OH 43130
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Other Identifiers 15

Other21149410544-01OH · Capp Care
Other990006614OH · Railroad Medicare
Other358452379OH · Tricare
Other40888OH · Medigold
Other000000121711OH · Anthem
Medicare PIN0829151OH
Other0800909OH · United Health Care
Other13442OH · Nationwide
Other311551850-00OH · Workers Compensation
Other5423505OH · Aetna
Other311551850-001OH · Prudential
Other1529613OH · United Mine Workers
Other311551850002OH · Cigna
Medicare UPING55517OH
Medicaid2021618OH

Accepted Insurance

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

Susmitha P. Kolli 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 ID9133164254
PECOS Enrollment IDI20050620001060
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 3

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.
56 services54 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
50 services25 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
20 services18 patients

Hospital Affiliations CMS Care Compare

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

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43130 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
$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.

Other Providers at the Same Location NPPES 4

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

JENNIFER ANN HECK NP-C
Nurse Practitioner (Family)
1500 E MAIN ST, 2D
LANCASTER, OH 43130
Fairfield County (740) 687-9182
DAVID JOE DUNBAR M.D.
Internal Medicine
1500 E MAIN ST
LANCASTER, OH 43130
Fairfield County (740) 654-3700
DR. SRINIVAS KOLLI MD INC
Specialist
1500 E MAIN ST
LANCASTER, OH 43130
Fairfield County (740) 687-9182
MEDICAL ASSOCIATES OF LANCASTER
Internal Medicine
1500 E MAIN ST
LANCASTER, OH 43130
Fairfield County (740) 654-3700

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 Susmitha Kolli's NPI number?

The NPI number for Susmitha Kolli is 1871582288. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Susmitha Kolli located?

Susmitha Kolli practices at 1500 E Main St, Lancaster, OH 43130. The listed phone number is (740) 653-3527.

What is Susmitha Kolli's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Susmitha Kolli enrolled in Medicare?

Yes. Susmitha Kolli 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 Susmitha Kolli accept?

Health plans from CareSource list Susmitha Kolli 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 Susmitha Kolli affiliated with any hospitals?

According to CMS data, Susmitha Kolli is affiliated with Fairfield Medical Center.

When was this NPI record last updated?

The NPPES record for Susmitha Kolli was last updated on January 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.