Active NPI
Nina Deep, M.D.
- Internal Medicine Physician
- Westerville, OH
National Provider Identifier
1154308369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-06-9940
- Practice address
- 5150 E Dublin Granville Rd
Suite 100
Westerville, OH 43081-8701 - Phone
- (614) 855-5555
- NPI assigned
- Dec 29, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-06-9940 | OH | Primary |
Addresses
Primary practice location
5150 E Dublin Granville Rd
Suite 100
Westerville, OH 43081-8701
Mailing address
5150 E Dublin Granville Rd
Suite 100
Westerville, OH 43081-8701
Phone (614) 855-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2045209 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Primary Care Physicians, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Westerville, OH
- NPI 1639279045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1154308369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 E DUBLIN GRANVILLE RD",
"address_2": "SUITE 100",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430818701",
"telephone_number": "614-855-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 E DUBLIN GRANVILLE RD",
"address_2": "SUITE 100",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430818701",
"telephone_number": "614-855-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEEP",
"first_name": "NINA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-29",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-06-9940",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2045209",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.