Nicholas Peter Amata, M.D.
Individual provider Active NPI Internal Medicine Physician · Columbus, OH
NPI 1003349291 · NPPES record last updated Jun 28, 2021
Key facts
- NPI
- 1003349291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35.138657 (OH)
- Practice address
- 3555 Olentangy River Rd Ste 1080
Columbus, OH 43214-3984 - Phone
- (614) 268-8164
- Fax
- (614) 268-8406
- NPI assigned
- Apr 5, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Ohio State University College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Ohio Primary Care Physicians, Inc.
Practice addresses (Care Compare)
3555 Olentangy River Rd
Suite 1080
Columbus, OH 43214-3984
Phone (614) 268-8164
Hospital & facility affiliations
- Riverside Methodist Hospital
- Dublin Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.04 of 100
- Quality
- 85.5
- Improvement activities
- 40
- Cost
- 83.38
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200425000090 | OH | Practitioner - Internal Medicine | 3375813553 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.138657 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Primary Care Physicians, Inc. | Internal Medicine | Current |
Accepting new patients |
| Ohiohealth Corporation | Current |
Accepting new patients | |
| Central Ohio Primary Care Physicians, Inc. | Current |
Accepting new patients | |
| Ohiohealth Corporation | Internal Medicine | Current |
Accepting new patients |
| Central Ohio Primary Care Physicians Inc | Current | Accepting new patients | |
| Ohiohealth Corporation | Past | Accepting new patients |
Locations
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665
3555 Olentangy River Rd
Ste 1080
Columbus, OH 43214
Phone (614) 268-8164
3595 Olentangy River Rd
Columbus, OH 43214
Phone (614) 556-5456
Dept L3652
Columbus, OH 43260
5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497
Interoperability endpoints
- namata18892@copcp.medicity.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.138657 | OH | Yes |
Addresses
Primary practice location
3555 Olentangy River Rd Ste 1080
Columbus, OH 43214-3984
Mailing address
3555 Olentangy River Rd Ste 1080
Columbus, OH 43214-3984
Phone (614) 268-8164
NPI Registry JSON
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1003349291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3555 OLENTANGY RIVER RD STE 1080",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143984",
"telephone_number": "614-268-8164",
"fax_number": "614-268-8406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 OLENTANGY RIVER RD STE 1080",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143984",
"telephone_number": "614-268-8164",
"fax_number": "614-268-8406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMATA",
"first_name": "NICHOLAS",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-05",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.138657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
- Audrey Amann
- Corey M. Amann
- Emily Joyce Amann
- Richard Kobina Amanquanor
- April Amartey
- Anthony Amato
- Sabrina Amato
- Sarah Amato
- Savannah Noel Amato
- Tarah M. Amato
All providers in Columbus, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.