Individual provider Active NPI

Lewis Samuel Weisblum, M.D.

  • Vascular & Interventional Radiology Physician
  • Columbus, OH
National Provider Identifier
1073616363
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
35C.003735 Issued in OH
Practice address
395 W 12TH Ave
Columbus, OH 43210-1267
Phone
(614) 293-8315
Fax
(614) 293-6935
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G52508 CA
Diagnostic Radiology Physician 2085R0202X 181125 NY
Vascular & Interventional Radiology Physician 2085R0204X 35C.003735 OH Primary
Diagnostic Radiology Physician 2085R0202X 35C.003735 OH

Addresses

Primary practice location

395 W 12TH Ave
Columbus, OH 43210-1267

Mailing address

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 646-5110

Other practice location 1

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 646-5110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, FL, OH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20070129000836 CA Practitioner - Diagnostic Radiology 0547200982 Reassigns benefits to 2 organizations
I20071005000202 WA Practitioner - Diagnostic Radiology 0547200982 Reassigns benefits to 1 organization
I20080815000468 FL Practitioner - Diagnostic Radiology 0547200982 Reassigns benefits to 2 organizations
I20260330002001 OH Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0547200982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians
San Joaquin Community HospitalGroup PAC ID 1557390580, 72 clinicians
Osu Radiology LLCGroup PAC ID 8921031675, 180 clinicians

Practice addresses (Care Compare)

155 Glasson Way
Suite L 10
Grass Valley, CA 95945-5723
Phone (530) 274-6677

1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800

1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800

2615 Chester Ave
Bakersfield, CA 93301-2014

395 W 12TH Ave
RM 460
Columbus, OH 43210-1267
Phone (614) 293-8315

820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711

9602 Stockdale Hwy
Bakersfield, CA 93311-3618
Phone (661) 395-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G52508CAMDDiagnostic Radiology Physician
35C.003735OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Sep 15, 2025 Accepting new patients
Osu Radiology LLC Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
San Joaquin Community Hospital CurrentSince Nov 22, 2025 Accepting new patients
San Joaquin Community Hospital CurrentSince Nov 22, 2025 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Oct 29, 2018 Accepting new patients
Sheridan Radiology Services of Pinellas, Inc. Diagnostic Radiology Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Sep 15, 2025 Accepting new patients
Florida United Radiology LC Diagnostic Radiology Current Accepting new patients
Sheridan Radiology Services of Central Florida Inc Diagnostic Radiology Current Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Sheridan Radiology Services of Central Florida, Inc. Diagnostic Radiology Past Accepting new patients
Radiology Consulting of Long Island PLLC Diagnostic Radiology Past Accepting new patients
Lewis Weisblum, MD, Inc. Diagnostic Radiology PastSince Jan 29, 2007 Accepting new patients
Payson Hospital Corporation Past Accepting new patients

Locations (25 of 27)

9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

6305 Coyle Ave
Carmichael, CA 95608
Phone (916) 961-6920

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500

1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 7

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1073616363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 B GALE WILSON BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333552",
            "telephone_number": "707-646-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W 12TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101267",
            "telephone_number": "614-293-8315",
            "fax_number": "614-293-6935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 B Gale Wilson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945333552",
            "country_code": "US",
            "telephone_number": "707-646-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISBLUM",
        "first_name": "LEWIS",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G52508",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "181125",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OH",
            "license": "35C.003735",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35C.003735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.