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

Periakaruppan Vairavan Manickam, MD

Individual provider Otolaryngology Physician · NPI 1609261395

Periakaruppan Vairavan Manickam, MD is a Diagnostic Radiology in Columbus, Ohio. Graduated from University of Cincinnati College of Medicine in 2014, 12 years ago. Practices with Osu Radiology LLC, a 180-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Ohio and Pennsylvania.

Years since qualifying
12
Trained at
University of Cincinnati College of Medicine
Licensed in
CA, OH, PA
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

395 W 12th Ave Fl 4
Columbus, OH 43210-1267
Phone: (614) 293-8315
Fax: (614) 293-6935
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Pasteur Dr, Stanford, CA 94305-2200 — (650) 723-4000

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence 35.152863 (OH)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 390200000X (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A188792 (CA)

Record details

NPI number1609261395
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2015
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Osu Radiology Llc — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Columbus