VIJAY S DUGGIRALA M.D.
NPI 1992934277
Hospitalist in Columbus, OH

Active since July 08, 2009PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
410 W 10TH AVE, COLUMBUS, OH 43210(614) 293-7499(614) 366-2360 Get Directions Write a Review

NPPES record last updated: February 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vijay S Duggirala M.d. NPPES

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

VIJAY S DUGGIRALA M.D. (NPI 1992934277) is an individual hospitalist provider in Columbus, Ohio, licensed in Ohio (35.121032) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Northeastern Ohio University College Of Medicine (2009).

NPPES Registry Identity

NPI1992934277
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameVIJAY S DUGGIRALACredential: M.D.
Location Address410 W 10TH AVEColumbus, OH 43210-1240
Mailing Address700 Ackerman Rd, Suite 570Columbus, OH 43202-1559 · (614) 293-7499
Fax(614) 366-2360
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2009
Enumeration DateJuly 8, 2009
Last NPPES UpdateFebruary 21, 2019
NPI 1992934277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in OH · 35.121032 Licensed in MA · 250620
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 250620 (MA), 35.121032 (OH)
410 W 10TH AVE, Columbus, OH 43210

Other Identifiers 2

Medicaid0087784OH
Medicaid110092527AMA

Accepted 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

Vijay S Duggirala 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 ID1052577822
PECOS Enrollment IDI20130722000158
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 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.
78 services39 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.
48 services28 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.
41 services41 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.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Emergency Medicine
410 W 10TH AVE, EMERGENCY DEPARTMENT
COLUMBUS, OH 43210
Anesthesiology
410 W 10TH AVE
COLUMBUS, OH 43210
Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Hospitalist
410 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
410 W 10TH AVE, 368 DOAN HALL
COLUMBUS, OH 43210
Neurological Surgery
410 W 10TH AVE
COLUMBUS, OH 43210
Nurse Practitioner
410 W 10TH AVE
COLUMBUS, OH 43210

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 Vijay Duggirala's NPI number?

The NPI number for Vijay Duggirala is 1992934277. It was assigned to this individual provider in the NPPES registry on July 8, 2009.

Where is Vijay Duggirala located?

Vijay Duggirala practices at 410 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-7499.

What is Vijay Duggirala's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Vijay Duggirala enrolled in Medicare?

Yes. Vijay Duggirala 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 Vijay Duggirala accept?

Health plans from CareSource list Vijay Duggirala 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 Vijay Duggirala affiliated with any hospitals?

According to CMS data, Vijay Duggirala is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Vijay Duggirala was last updated on February 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.