Individual provider Active NPI

William Martin Fogarty IV, D.O.

  • Pediatric Cardiology Physician
  • Columbus, OH
National Provider Identifier
1093246902
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
V8476 Issued in TX
Practice address
700 Childrens Dr
Columbus, OH 43205-2664
Phone
(614) 722-6200
NPI assigned
Mar 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 34.014338 OH
Pediatric Cardiology Physician 2080P0202X V8476 TX Primary
Pediatrics Physician 208000000X 34.014338 OH

Addresses

Primary practice location

700 Childrens Dr
Columbus, OH 43205-2664

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-6483

Other practice location 1

11 John Lloyd Evans Memorial Dr
Nelsonville, OH 45764-2523
Phone (614) 722-6200

Other practice location 2

1818 Chapel Dr
Findlay, OH 45840-1335
Phone (614) 722-6200

Other practice location 3

4439 State Route 159 Ste G10
Chillicothe, OH 45601-7708
Phone (614) 722-6200

Other practice location 4

740 Adair Ave
Zanesville, OH 43701-2838
Phone (614) 722-6200

Other practice location 5

830 W High St
Lima, OH 45801-3971
Phone (614) 722-6200

Other practice location 6

1069 Delaware Ave
Marion, OH 43302-1400
Phone (614) 722-6200

Other practice location 7

536 S Trimble Rd
Mansfield, OH 44906-3418
Phone (614) 722-6200

Other practice location 8

455 Executive Campus Dr
Westerville, OH 43082-8870
Phone (614) 722-2000

Other practice location 9

1500 Cooper St
Fort Worth, TX 76104-2710
Phone (682) 885-2140

Other practice location 10

5665 Venture Dr
Dublin, OH 43017-2159
Phone (614) 722-6200

Other practice location 11

1711 27th St
Portsmouth, OH 45662-2654
Phone (614) 722-6200

Other practice location 12

7853 Pacer Dr
Delaware, OH 43015-7571
Phone (614) 722-6200

Other practice location 13

1 Childrens Plz
Dayton, OH 45404-1873
Phone (614) 722-6200

Other practice location 14

26 Hospital Dr
Athens, OH 45701-2471
Phone (614) 722-2530

Other practice location 15

7901 Diley Rd
Canal Winchester, OH 43110-9612
Phone (614) 722-6200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wfogarty236331@CookChildrens.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20241008000531 OH Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 7012333560 Reassigns benefits to 2 organizations
I20250915003407 TX Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 7012333560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7000 Calmont Ave
Suite 150
Fort Worth, TX 76116-4192

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V8476TXMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Children's Hospital CurrentSince Oct 7, 2024 Accepting new patients
Nationwide Children's Hospital Pediatrics CurrentSince Oct 7, 2024 Accepting new patients
Cook Children's Physician Network Pediatrics Current Accepting new patients
Cook Children's Physician Network Pediatrics CurrentSince Sep 22, 2025 Accepting new patients
Pediatric Academic Association, Inc. Pediatrics CurrentSince Aug 28, 2024 Accepting new patients
Cook Children's Physician Network Pediatrics CurrentSince Sep 22, 2025 Accepting new patients
Cook Children's Medical Center Past Accepting new patients
Nationwide Children's Hospital Past Accepting new patients

Locations

Dept 781629
Detroit, MI 48278

26 Hospital Dr
Athens, OH 45701
Phone (614) 722-2530

7901 Diley Rd
Canal Winchester, OH 43110
Phone (614) 355-9050

4439 State Route 159
Ste G10
Chillicothe, OH 45601
Phone (740) 779-4300

Dept L289
Columbus, OH 43260

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

7853 Pacer Dr
Delaware, OH 43015
Phone (614) 355-7900

5665 Venture Dr
Dublin, OH 43017
Phone (614) 355-8480

1818 Chapel Dr
Findlay, OH 45840
Phone (419) 424-1055

830 W High St
Lima, OH 45801
Phone (419) 226-9694

536 S Trimble Rd
Mansfield, OH 44906
Phone (419) 528-3150

1069 Delaware Ave
Marion, OH 43302
Phone (740) 223-3496

11 John Lloyd Evans Memorial Dr
Nelsonville, OH 45764
Phone (614) 367-1004

1711 27th St
Portsmouth, OH 45662
Phone (740) 352-1175

455 Executive Campus Dr
Westerville, OH 43082
Phone (614) 355-6100

740 Adair Ave
Zanesville, OH 43701
Phone (614) 722-3535

7000 Calmont Ave
Ste 150
Fort Worth, TX 76116
Phone (682) 885-6163

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

1500 Cooper St
Ft Worth, TX 76104
Phone (682) 885-2500

801 Matlock Rd
Mansfield, TX 76063
Phone (817) 347-8400

136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412

Interoperability endpoints

  • Direct secure messaging: wfogarty236331@cookchildrens.direct-ci.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1093246902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-6483",
            "fax_number": "682-885-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 John Lloyd Evans Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Nelsonville",
            "state": "OH",
            "postal_code": "457642523",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 Chapel Dr",
            "address_purpose": "LOCATION",
            "city": "Findlay",
            "state": "OH",
            "postal_code": "458401335",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4439 State Route 159 Ste G10",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456017708",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 Adair Ave",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437012838",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 W High St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458013971",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1069 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433021400",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "536 S Trimble Rd",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449063418",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Executive Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828870",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Cooper St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042710",
            "country_code": "US",
            "telephone_number": "682-885-2140",
            "fax_number": "817-332-2506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5665 Venture Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430172159",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1711 27th St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456622654",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7853 Pacer Dr",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430157571",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Childrens Plz",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454041873",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457012471",
            "country_code": "US",
            "telephone_number": "614-722-2530",
            "fax_number": "614-722-5995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 Diley Rd",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431109612",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGARTY",
        "first_name": "WILLIAM",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "OH",
            "license": "34.014338",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "V8476",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34.014338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wfogarty236331@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "1500 Cooper St",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761042710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.