Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Pavan Venkata Dontineni, MD

Individual provider Psychiatry Physician · NPI 1790944866

Dr. Pavan Venkata Dontineni, MD is a Psychiatry in Columbus, Ohio. Qualified in 2004, 22 years ago. Practices with Autumn Treatment Center LLC, a 13-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
22
Licensed in
OH
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6400 E Broad St Ste 400
Columbus, OH 43213-2979
Phone: (614) 655-3345
Fax: (614) 317-4689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1612 Lancaster Ave, Reynoldsburg, OH 43068-2639 — (740) 300-1380

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 35.099411 (OH)

Record details

NPI number1790944866
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2008
Last updated in NPPESApril 10, 2023
Certification dateApril 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Autumn Treatment Center Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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