Individual provider Active NPI

Bobbak Tadayon

  • Emergency Medicine Physician
  • Columbus, OH
National Provider Identifier
1013479344
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.144570 Issued in OH
Practice address
376 W. 10TH Ave
774 Prior Hall
Columbus, OH 43210-1280
Phone
(614) 293-3570
NPI assigned
Apr 4, 2019
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 35.144570 OH Primary

Addresses

Primary practice location

376 W. 10TH Ave
774 Prior Hall
Columbus, OH 43210-1280

Mailing address

376 W. 10TH Ave
774 Prior Hall
Columbus, OH 43210-1280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220509002556 OH Practitioner - Emergency Medicine 0345583167 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.9 of 100Reported as group
Quality
91.17
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Emergency Medicine Physicians of Cincinnati, LTD. Emergency Medicine CurrentSince Jul 17, 2024 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients

Locations

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1013479344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 W. 10TH AVE",
            "address_2": "774 PRIOR HALL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 W. 10TH AVE",
            "address_2": "774 PRIOR HALL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101280",
            "telephone_number": "614-293-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADAYON",
        "first_name": "BOBBAK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.144570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.