Individual provider Active NPI

Edward Yu Qiao, D.O.

  • Sports Medicine (Internal Medicine) Physician
  • Circleville, OH
National Provider Identifier
1194068072
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
34.012662 Issued in OH
Practice address
130 Morris Rd
Circleville, OH 43113-1362
Phone
(740) 420-8025
NPI assigned
Mar 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X 34.012662 OH Primary

Addresses

Primary practice location

130 Morris Rd
Circleville, OH 43113-1362

Mailing address

130 Morris Rd
Circleville, OH 43113-1362

Other identifiers 1

IdentifierTypeStateIssuer
0217838MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eqiao146161@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170523001028 OH Practitioner - Internal MedicinePractitioner - Sports Medicine 8729372974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sports Medicine
Education
Michigan State University College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

2030 Stringtown Rd
Suite 120
Grove City, OH 43123-3993
Phone (614) 544-0500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.012662OHMDSports Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Sports Medicine Current Accepting new patients
Ohiohealth Corporation CurrentSince Dec 1, 2019 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 1, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

130 Morris Rd
Circleville, OH 43113
Phone (740) 477-6511

600 N Pickaway St
Ste 203
Circleville, OH 43113
Phone (740) 420-8365

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

2030 Stringtown Rd
Ste 120
Grove City, OH 43123
Phone (614) 544-0140

Interoperability endpoints

  • Direct secure messaging: eqiao296836@direct.hfhs.org

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 4

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": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1194068072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MORRIS RD",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MORRIS RD",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131362",
            "telephone_number": "740-420-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QIAO",
        "first_name": "EDWARD",
        "middle_name": "YU",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-29",
        "last_updated": "2022-01-25",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "OH",
            "license": "34.012662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217838",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eqiao146161@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "130 Morris Rd",
            "address_2": "OSSMPC",
            "city": "Circleville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431131362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

Verify at the official NPI Registry.