Individual provider Active NPI

Brent J Goslin, MD

  • Surgery Physician
  • Columbus, OH
National Provider Identifier
1073741195
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301094772 Issued in MI
Practice address
3545 Olentangy River Rd Ste 525
Columbus, OH 43214-3983
Phone
(614) 261-1900
Fax
(614) 261-7538
NPI assigned
Jun 26, 2009
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 34014676 OH
Surgical Critical Care Physician 2086S0102X 34014676 OH
Surgery Physician 208600000X 4301094772 MI Primary

Addresses

Primary practice location

3545 Olentangy River Rd Ste 525
Columbus, OH 43214-3983

Mailing address

3545 Olentangy River Rd Ste 525
Columbus, OH 43214-3983
Phone (614) 261-1900

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
I20150601000787 OH Practitioner - General Surgery 5294963625 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Human Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Trauma Surgeons LLCGroup PAC ID 9931132040, 9 clinicians
Riverside Surgical Associates IncGroup PAC ID 9537192950, 9 clinicians
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 261-1900

3545 Olentangy River Rd
Suite 525
Columbus, OH 43214-3907
Phone (614) 261-1900

3595 Olentangy River Rd
Columbus, OH 43214-3440
Phone (614) 566-5377

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

Merit-based Incentive Payment System (MIPS)

Final score
24.64 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux29
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34014676OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Trauma Surgeons LLC CurrentSince Jul 1, 2015 Accepting new patients
Ohiohealth Corporation CurrentSince Aug 1, 2015 Accepting new patients
Ohiohealth Corporation CurrentSince Aug 1, 2015 Accepting new patients
Riverside Surgical Associates Inc Surgery CurrentSince Jul 1, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Ohiohealth Corporation Past Accepting new patients

Locations

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

3545 Olentangy River Rd
Ste 226
Columbus, OH 43214
Phone (614) 261-0174

3545 Olentangy River Rd
Ste 525
Columbus, OH 43214
Phone (614) 261-1900

3595 Olentangy River Rd
Columbus, OH 43214
Phone (614) 556-5456

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1073741195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 OLENTANGY RIVER RD STE 525",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143983",
            "telephone_number": "614-261-1900",
            "fax_number": "614-261-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 OLENTANGY RIVER RD STE 525",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143983",
            "telephone_number": "614-261-1900",
            "fax_number": "614-261-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSLIN",
        "first_name": "BRENT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34014676",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "OH",
            "license": "34014676",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301094772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.