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PAVANI DANTALA MD
NPI 1902009152
Internal Medicine in Middletown, OH

Active since June 06, 2007PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
1 MEDICAL CENTER DR, MIDDLETOWN, OH 45005(513) 705-4754(513) 420-5156 Get Directions Write a Review

NPPES record last updated: December 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pavani Dantala Md NPPES

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

PAVANI DANTALA MD (NPI 1902009152) is an individual internal medicine provider in Middletown, Ohio, licensed in Ohio (35.095144) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Atrium Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1902009152
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePAVANI DANTALACredential: MD
Location Address1 MEDICAL CENTER DRMiddletown, OH 45005-2584
Mailing Address1 Medical Center DrMiddletown, OH 45005-2584 · (513) 705-4754 · Fax (513) 420-5156
Phone(513) 705-4754
Fax(513) 420-5156
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 6, 2007
Last NPPES UpdateDecember 10, 2013
✔ NPI 1902009152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.095144
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 35095144 (OH)
1 MEDICAL CENTER DR, Middletown, OH 45005
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Other Identifiers 2

Medicaid3077674OH
Medicare PINH119351OH

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

Pavani Dantala 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 ID7315063179
PECOS Enrollment IDI20100929000862
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 5

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 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.
243 services100 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
139 services135 patients
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.
94 services57 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.
60 services58 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45005 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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost69.16

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier49 claims49 services$13.68 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier24 claims24 services$4.39 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier52 claims52 services$62.18 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.

MYRA WRIGHT APRN
Nurse Practitioner (Family)
1 MEDICAL CENTER DR
MIDDLETOWN, OH 45005
Warren County (513) 705-4754
JOHN L LYMAN MD
Emergency Medicine
1 MEDICAL CENTER DR
FRANKLIN, OH 45005
Warren County (513) 312-3656
CHALANA UMAYANGANEE GUNAWARDENA MD
Internal Medicine
1 MEDICAL CENTER DR
FRANKLIN, OH 45005
Warren County (513) 705-4754
MVHE, INC
Hospitalist
1 MEDICAL CENTER DR
MIDDLETOWN, OH 45005
Warren County (513) 705-5754
BRITTANY BEDWELL CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL CENTER DR
MIDDLETOWN, OH 45005
Warren County (513) 974-2111
MIDDLETOWN ANESTHESIA CONSULTANTS INC
Anesthesiology
1 MEDICAL CENTER DR
FRANKLIN, OH 45005
Warren County (513) 424-2111
ATRIUM MEDICAL CENTER
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1 MEDICAL CENTER DR
FRANKLIN, OH 45005
Warren County (513) 424-2111
ATRIUM MEDICAL CENTER
Rehabilitation Unit
1 MEDICAL CENTER DR
FRANKLIN, OH 45005
Warren County (513) 424-2111

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 Pavani Dantala's NPI number?

The NPI number for Pavani Dantala is 1902009152. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Pavani Dantala located?

Pavani Dantala practices at 1 Medical Center Dr, Middletown, OH 45005. The listed phone number is (513) 705-4754.

What is Pavani Dantala's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pavani Dantala enrolled in Medicare?

Yes. Pavani Dantala 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 Pavani Dantala accept?

Health plans from CareSource list Pavani Dantala 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 Pavani Dantala affiliated with any hospitals?

According to CMS data, Pavani Dantala is affiliated with Atrium Medical Center.

When was this NPI record last updated?

The NPPES record for Pavani Dantala was last updated on December 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.