Active NPI
Thomas S Fanning, M.D.
- Interventional Cardiology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 3506761F
- Practice address
- 745 W State St
Suite 750
Columbus, OH 43222-1515 - Phone
- (614) 224-2281
- Fax
- (614) 221-8869
- NPI assigned
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 3506761F | OH | Primary |
Addresses
Primary practice location
745 W State St
Suite 750
Columbus, OH 43222-1515
Mailing address
2786 Sandhurst Dr
Lewis Center, OH 43035-9367
Phone (740) 657-3731
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28478453001 | Other | MEDICAL MUTUAL OF OHIO | |
| 2207463 | Medicaid | OH | |
| 060060628 | Other | RAILROAD MEDICARE | |
| 2847815300 | Other | OH | BUREAU OF WORKERS COM |
| 2502117 | Other | UNITED HEALTHCARE | |
| 00000000203679 | Other | ANTHEM BCBS | |
| 060060628 | Other | OH | RAILROAD MEDICARE |
| 61238 | Other | NATIONWIDE |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Ohio State University College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
477 Cooper Rd
Suite 200
Westerville, OH 43081-8054
Phone (614) 663-3877
Hospital & facility affiliations
- Mount Carmel St Ann'S
- Mount Carmel East & West
- Mount Carmel Dublin
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.44 of 100
- Quality
- 75.57
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 73.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3506761F | OH | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Carmel Healthproviders Two LLC | Current | Accepting new patients | |
| Columbus Cardiology Consultants, Inc. | Past | Accepting new patients |
Locations
85 McNaughten Rd
Ste 300
Columbus, OH 43213
Phone 61462720006
6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400
5969 E Broad St
Ste 300
Columbus, OH 43213
Phone (614) 367-0585
745 W State St
Ste 750
Columbus, OH 43222
Phone (614) 340-3226
477 Cooper Rd
Ste 200
Westerville, OH 43081
Phone (614) 459-7676
495 Cooper Rd
Ste 130
Westerville, OH 43081
Phone (614) 839-1212
Interoperability endpoints
- tfanning1163261@direct.trinity-health.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Columbus, OH
- NPI 1134154750
-
- Cardiovascular Disease Physician
- Columbus, OH
- NPI 1881743276
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Westerville, OH
- NPI 1417037045
-
- General Acute Care Hospital
- Grove City, OH
- NPI 1710067376
-
- General Acute Care Hospital
- Dublin, OH
- NPI 1710752183
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1982784534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1013970581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2786 SANDHURST DR",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "430359367",
"telephone_number": "740-657-3731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 W STATE ST",
"address_2": "SUITE 750",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221515",
"telephone_number": "614-224-2281",
"fax_number": "614-221-8869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANNING",
"first_name": "THOMAS",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OH",
"license": "3506761F",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL OF OHIO",
"identifier": "28478453001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2207463",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060060628",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUREAU OF WORKERS COM",
"identifier": "2847815300",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2502117",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "00000000203679",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060060628",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONWIDE",
"identifier": "61238",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.