Individual provider Active NPI

Thomas S Fanning, M.D.

  • Interventional Cardiology Physician
  • Columbus, OH
National Provider Identifier
1013970581
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
3506761F Issued in OH
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

Updated by the provider on Jun 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
28478453001OtherMEDICAL MUTUAL OF OHIO
2207463MedicaidOH
060060628OtherRAILROAD MEDICARE
2847815300OtherOHBUREAU OF WORKERS COM
2502117OtherUNITED HEALTHCARE
00000000203679OtherANTHEM BCBS
060060628OtherOHRAILROAD MEDICARE
61238OtherNATIONWIDE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080915000207 OH Practitioner - Interventional Cardiology 0042386112 Reassigns benefits to 1 organization

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
Mount Carmel Healthproviders Two LLCGroup PAC ID 6608828447, 222 clinicians

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 Hospital, Westerville, OH, CCN 360012
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Mount Carmel Dublin Hospital, Dublin, OH, CCN 360375

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
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

LicenseStateTypeSpecialty
3506761FOHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.