NPIMap

Individual provider Active NPI

Brian P. Fahey, DO

  • Neurology Physician
  • Dublin, OH
National Provider Identifier
1124189931
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
34004675 Issued in OH
Practice address
555 Metro PL N
Dublin, OH 43017-5362
Phone
(614) 410-9580
Fax
(614) 844-4589
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 34004675 OH Primary

Addresses

Primary practice location

555 Metro PL N
Dublin, OH 43017-5362

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 410-9580

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bfahey332499@direct.osumc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040116000011 OH Practitioner - Neurology 2769382696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Ohio University, College of Osteopathic Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osup Community Outreach LLCGroup PAC ID 5799008082, 147 clinicians

Practice addresses (Care Compare)

555 Metro PL N
Dublin, OH 43017-5362
Phone (614) 410-9580

6100 N Hamilton Rd
Westerville, OH 43081-2062
Phone (614) 293-4969

Hospital & facility affiliations

  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • James Cancer Hospital & Solove Research Institute Hospital, Columbus, OH, CCN 360242
  • Mercer County Joint Township Community Hospital Hospital, Coldwater, OH, CCN 360058
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017

Merit-based Incentive Payment System (MIPS)

Final score
92.03 of 100Reported as individual
Quality
83.95
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4675OHMDClinical Psychologist
34004675OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osup Community Outreach LLC Neurology CurrentSince Dec 1, 2014 Accepting new patients
Ndi, LTD Neurology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Neurologic Specialists Inc Neurology PastSince Jan 8, 2004 Accepting new patients

Locations

5109 W Broad St
Columbus, OH 43228
Phone (614) 544-1976

165 N Murray Hill Rd
Columbus, OH 43228
Phone (614) 870-3669

7811 Flint Rd
Ste C
Columbus, OH 43235
Phone (614) 433-2000

700 Ackerman Rd
Ste 570
Columbus, OH 43202
Phone (614) 293-2046

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

555 Metro Pl N
Dublin, OH 43017
Phone (614) 410-9580

4995 Bradenton Ave
Dublin, OH 43017
Phone (614) 580-6917

6100 N Hamilton Rd
Westerville, OH 43081
Phone (614) 814-8100

Interoperability endpoints

  • Direct secure messaging: bfahey332499@direct.osumc.edu

Organizations & group practices 4

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 8

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1124189931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-410-9580",
            "fax_number": "614-844-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 METRO PL N",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175362",
            "telephone_number": "614-410-9580",
            "fax_number": "614-844-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHEY",
        "first_name": "BRIAN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "34004675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bfahey332499@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "7811 Flint Rd Ste C",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432356420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.