Individual provider Active NPI

Carmen G Sidani, CNP

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1184814873
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.09527 Issued in OH
Practice address
810 Jasonway Ave Ste a
Columbus, OH 43214-4359
Phone
(614) 442-3130
Fax
(614) 442-3145
NPI assigned
Jul 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.09527 OH Primary

Addresses

Primary practice location

810 Jasonway Ave Ste a
Columbus, OH 43214-4359

Mailing address

810 Jasonway Ave Ste a
Columbus, OH 43214-4359
Phone (614) 442-3130

Other practice location 1

300 Polaris Pkwy Ste 330
Westerville, OH 43082-7989
Phone (614) 442-3130

Other practice location 2

6700 Perimeter Dr
Dublin, OH 43016-3505
Phone (614) 442-3130

Other identifiers 1

IdentifierTypeStateIssuer
3101431MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carmen.sidani@coha.ikm.direct-ci.com Direct Columbus Oncology Associates Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osu Radiology LLC CurrentSince Jul 1, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

395 W 12th Ave
Rm 460
Columbus, OH 43210
Phone (614) 293-8299

Interoperability endpoints

  • Direct secure messaging: carmen.sidani@coha.ikm.direct-ci.com

Organizations & group practices 2

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": "1185580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1184814873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 JASONWAY AVE STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144359",
            "telephone_number": "614-442-3130",
            "fax_number": "614-442-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 JASONWAY AVE STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144359",
            "telephone_number": "614-442-3130",
            "fax_number": "614-442-3145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Polaris Pkwy Ste 330",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430827989",
            "country_code": "US",
            "telephone_number": "614-442-3130",
            "fax_number": "614-442-3145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6700 Perimeter Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430163505",
            "country_code": "US",
            "telephone_number": "614-442-3130",
            "fax_number": "614-442-3145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDANI",
        "first_name": "CARMEN",
        "middle_name": "G",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-28",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.09527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3101431",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carmen.sidani@coha.ikm.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Columbus Oncology Associates Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "810 Jasonway Ave Ste A",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432144359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.