DR. NISHANTH ULI MD
NPI 1114555273
Student in an Organized Health Care Education/Training Program in Columbus, OH
NPI Status: Active since April 01, 2020
Contact Information
395 W 12TH AVE FL 3
COLUMBUS, OH
ZIP 43210
Phone: (614) 293-3989
Fax: (614) 293-9789
- Individual
- Male
- Years of Experience 6
- Student in an Organized Health Care Educ...
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About NISHANTH ULI
This page provides the complete NPI Profile along with additional information for Nishanth Uli, a primary care provider established in Columbus, Ohio with a medical specialization in Student In An Organized Health Care Education/training Program and more than 6 years of experience. He graduated from Ohio State University College Of Medicine in 2020. The healthcare provider is registered in the NPI registry with number 1114555273 assigned on April 2020. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1114555273
- Provider Name
- DR. NISHANTH ULI MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 395 W 12TH AVE FL 3 COLUMBUS, OH 43210
- Location Phone
- (614) 293-3989
- Location Fax
- (614) 293-9789
- Mailing Address
- 395 W 12TH AVE FL 3 COLUMBUS, OH 43210
- Mailing Phone
- (614) 293-3989
- Mailing Fax
- (614) 293-9789
- Medical School Name
- OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
- Graduation Year
- 2020
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-01-2020
- Last Update Date
- 04-01-2020
- Code Navigator
A primary care provider (PCP) like Nishanth Uli sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Bronze Pathway X HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Pathway X HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Gold Pathway X HMO 1000/20%/7500 - HMO
- Anthem Gold Pathway X HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Pathway X HMO 2000/10%/4600 w/HSA - HMO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate - HMO
- BlueCare Direct Gold? Standard - Rx Copays with Advocate - HMO
- Blue Focus Bronze POS? 205 - POS
- Blue Focus Bronze POS? 705 - POS
- Blue Focus Bronze POS? Standard - POS
- Blue Focus Gold POS? 207 - POS
- Blue Focus Gold POS? Standard - POS
- Blue Focus Silver POS? 206 - POS
- Blue Focus Silver POS? Standard - POS
- Blue Preferred Bronze PPO? 201 - PPO
- Blue Preferred Bronze PPO? 202 - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? 204 - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? 203 - PPO
- Blue Preferred Silver PPO? 308 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- MyBlue Gold HMO? 704 - HMO
- MyBlue Gold HMO? 804 - HMO
- MyBlue Gold HMO? Standard - HMO
- MyBlue Silver HMO? 705 - HMO
- MyBlue Silver HMO? 803 - HMO
- MyBlue Silver HMO? Standard - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Nishanth Uli is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Nishanth Uli is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 5698197598
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240515004098
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nishanth Uli is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| TUFTS MEDICAL CENTER | 800 WASHINGTON STREET BOSTON, MA 02111 | (617) 636-5000 | Acute Care Hospitals |
Reviews for DR. NISHANTH ULI MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 5 | 5 | 5 | 2 | 7 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 10 | 5 | 10 | 2 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 0 + 5 + 1 + 0 + 2 + 1 + 4 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1114555273 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720473374 | DR. AMANDA DUNCAN M.D. Individual | Internal Medicine | 395 W 12TH AVE FL 3 COLUMBUS, OH 43210 (614) 293-3928 |
| 1982068268 | BENJAMIN BUCK Individual | Internal Medicine | 395 W 12TH AVE FL 3 COLUMBUS, OH 43210 (614) 293-3989 |
| 1265886287 | DILIP SINGH Individual | Internal Medicine | 395 W 12TH AVE FL 3 COLUMBUS, OH 43210 (614) 293-3989 |
| 1639630544 | ELOCHUKWU IBEKWE Individual | Student in an Organized Health Care Education/Training Program | 395 W 12TH AVE FL 3 COLUMBUS, OH 43210 (614) 293-3989 |
| 1831650191 | MASON EDWARD MOCARSKI MD Individual | Student in an Organized Health Care Education/Training Program | 395 W 12TH AVE FL 3 COLUMBUS, OH 43210 (614) 293-3989 |
| 1396206546 | MELISSA A BABCOOK MD PHD Individual | Student in an Organized Health Care Education/Training Program | 395 W 12TH AVE FL 3 COLUMBUS, OH 43210 (614) 293-3989 |
| 1972130219 | TREVOR DYLAN MORAVEC MD Individual | Student in an Organized Health Care Education/Training Program | 395 W 12TH AVE FL 3 COLUMBUS, OH 43210 (614) 293-9812 |
| 1295362531 | MELANIE TAYLOR REBECHI MD Individual | Student in an Organized Health Care Education/Training Program | 395 W 12TH AVE FL 3 COLUMBUS, OH 43210 (614) 293-3989 |
| 1235766262 | AYUSHI JAIN Individual | Student in an Organized Health Care Education/Training Program | 395 W 12TH AVE FL 3 COLUMBUS, OH 43210 (614) 293-3989 |
| 1407484967 | MITCHELL GARRISON NASH MD Individual | Student in an Organized Health Care Education/Training Program | 395 W 12TH AVE FL 3 COLUMBUS, OH 43210 (614) 293-3989 |
| 1457980591 | DR. ANITA ARTHUR MD, MPH Individual | Student in an Organized Health Care Education/Training Program | 395 W 12TH AVE FL 3 COLUMBUS, OH 43210 (614) 293-3989 |
| 1851910145 | AUBREY HUSAK Individual | Student in an Organized Health Care Education/Training Program | 395 W 12TH AVE FL 3 COLUMBUS, OH 43210 (614) 293-3989 |
| 1306423157 | AARON WILLIAM WARNING MD Individual | Student in an Organized Health Care Education/Training Program | 395 W 12TH AVE FL 3 COLUMBUS, OH 43210 (314) 293-3989 |
| 1760069306 | NICHOLAS BURKE MITCHELL MD Individual | Student in an Organized Health Care Education/Training Program | 395 W 12TH AVE FL 3 COLUMBUS, OH 43210 (614) 293-3989 |
| 1851979355 | DR. TUAN ANH LE PHAN MD Individual | Student in an Organized Health Care Education/Training Program | 395 W 12TH AVE FL 3 COLUMBUS, OH 43210 (614) 293-3989 |
| 1598347361 | RESHMA M GEORGE MD Individual | Student in an Organized Health Care Education/Training Program | 395 W 12TH AVE FL 3 COLUMBUS, OH 43210 (614) 293-3989 |
| 1811571037 | JOSEE SMITH Individual | Student in an Organized Health Care Education/Training Program | 395 W 12TH AVE FL 3 COLUMBUS, OH 43210 (614) 293-9812 |
| 1063162253 | DR. ANTHONY MANSOUR Individual | Student in an Organized Health Care Education/Training Program | 395 W 12TH AVE FL 3 COLUMBUS, OH 43210 (614) 293-3989 |
| 1154061307 | BOJUN CHEN Individual | Student in an Organized Health Care Education/Training Program | 395 W 12TH AVE FL 3 COLUMBUS, OH 43210 (614) 293-3989 |
| 1225788516 | DR. HYUNWOO KWON MD, PHD Individual | Student in an Organized Health Care Education/Training Program | 395 W 12TH AVE FL 3 COLUMBUS, OH 43210 (614) 293-3989 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114555273, enumerated in the NPI registry as an "individual" on April 01, 2020
The provider is located at 395 W 12th Ave Fl 3 Columbus, Oh 43210 and the phone number is (614) 293-3989
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
The provider has more than 6 years of experience. He graduated from Ohio State University College Of Medicine in 2020.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The practitioner is affiliated to the following hospital(s): TUFTS MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on April 01, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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