NPIMap

Individual provider Active NPI

Robert S. Pema, D.O.

  • Otolaryngology Physician
  • Columbus, OH
National Provider Identifier
1194838458
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
34-005324 Issued in OH
Practice address
4488 W Broad Street
Suite 3
Columbus, OH 43228
Phone
(614) 853-1950
Fax
(614) 853-1951
NPI assigned
Aug 17, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 34-005324 OH Primary

Addresses

Primary practice location

4488 W Broad Street
Suite 3
Columbus, OH 43228

Mailing address

4488 W Broad Street
Suite 3
Columbus, OH 43228
Phone (614) 853-1950

Other identifiers 2

IdentifierTypeStateIssuer
0176796OtherOHMCD #
0176796MedicaidOH

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
I20080123000180 OH Practitioner - Otolaryngology 6608864616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Ohio University, College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osup Community Outreach LLCGroup PAC ID 5799008082, 147 clinicians

Practice addresses (Care Compare)

543 Taylor Ave
Columbus, OH 43203-1278
Phone (614) 366-3687

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.44 of 100Reported as individual
Quality
86.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5324OHMDClinical Psychologist
34-005324OHMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Oct 12, 2009 Accepting new patients
Cleanslate Medical Group of Ohio LLC CurrentSince Dec 18, 2018 Accepting new patients
Ohiohealth Corporation CurrentSince Oct 12, 2009 Accepting new patients
Osup Community Outreach LLC CurrentSince Jan 1, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Ohio Ear Institute LLC Past Accepting new patients
Diseases of the Ears, Nose and Throat, Inc Otolaryngology PastSince Jul 1, 2002 Accepting new patients

Locations

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

4488 W Broad St
Ste 3
Columbus, OH 43228
Phone (614) 453-1589

543 Taylor Ave
Ste 2115
Columbus, OH 43203

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16219/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rpema44578@direct.osumc.edu

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1194838458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4488 W BROAD STREET",
            "address_2": "SUITE 3",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43228",
            "telephone_number": "614-853-1950",
            "fax_number": "614-853-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4488 W BROAD STREET",
            "address_2": "SUITE 3",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43228",
            "telephone_number": "614-853-1950",
            "fax_number": "614-853-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMA",
        "first_name": "ROBERT",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "34-005324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCD #",
            "identifier": "0176796",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0176796",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.