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Individual provider Active NPI

Luiza Bella Bdoyan, MD

  • Internal Medicine Physician
  • Grove City, OH
National Provider Identifier
1174866404
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
128046 Issued in OH
Practice address
5300 N. Meadows Dr
Ste 7023
Grove City, OH 43123-2546
Phone
(614) 663-4242
Fax
(614) 663-4940
NPI assigned
Apr 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35128046 OH
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 128046 OH Primary

Addresses

Primary practice location

5300 N. Meadows Dr
Ste 7023
Grove City, OH 43123-2546

Mailing address

5300 N. Meadows Dr
Ste 7023
Grove City, OH 43123-2546
Phone (614) 663-4242

Other names 1

  • Luiza Balabanyan Former name

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
I20161213002283 OH Practitioner - Internal Medicine 0042452732 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Inpatient Care Inc.Group PAC ID 3476586025, 28 clinicians

Practice addresses (Care Compare)

5300 N Meadows Dr
Grove City, OH 43123-2546
Phone (614) 234-4242

597 Executive Campus Dr
Westerville, OH 43082-8870
Phone (614) 663-4242

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • Mount Carmel Rehabilitation Hospital, an Affiliate Inpatient rehabilitation facility, Westerville, OH, CCN 363042

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
128046OHMDInternal Medicine Physician
35128046OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Inpatient Care Inc. Internal Medicine CurrentSince Oct 18, 2016 Accepting new patients
Mount Carmel Health System Past Accepting new patients
Encompass Health Rehabilitation Hospital of Westerville, LLC Past Accepting new patients

Locations

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

5300 N Meadows Dr
Ste 7023
Grove City, OH 43123
Phone (614) 663-4242

Organizations & group practices 5

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 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": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1174866404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N. MEADOWS DR",
            "address_2": "STE 7023",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232546",
            "telephone_number": "614-663-4242",
            "fax_number": "614-663-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 N. MEADOWS DR",
            "address_2": "STE 7023",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232546",
            "telephone_number": "614-663-4242",
            "fax_number": "614-663-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BDOYAN",
        "first_name": "LUIZA",
        "middle_name": "BELLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35128046",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "128046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIZA",
            "last_name": "BALABANYAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.