Individual provider Active NPI

David H Sharkis, M.D.

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1205811874
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-07-1988 Issued in OH
Practice address
770 Jasonway Ave
Suite G-2
Columbus, OH 43214-4333
Phone
(614) 459-3687
Fax
(614) 459-4675
NPI assigned
Dec 7, 2005
Last updated
Mar 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-07-1988 OH Primary

Addresses

Primary practice location

770 Jasonway Ave
Suite G-2
Columbus, OH 43214-4333

Mailing address

770 Jasonway Ave
Suite G-2
Columbus, OH 43214-4333
Phone (614) 459-3687

Other identifiers 1

IdentifierTypeStateIssuer
2010915MedicaidOH

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
I20040817000455 OH Practitioner - Internal Medicine 7517930670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4885 Olentangy River Rd
Columbus, OH 43214-1952
Phone (614) 326-5665

4885 Olentangy River Rd
Columbus, OH 43214-1953

4885 Olentangy River Rd
Columbus, OH 43214-1993

4895 Olentangy River Rd
Columbus, OH 43214-1185

625 Africa Rd
Westerville, OH 43082-0002

655 Africa Rd
Westerville, OH 43082-9808
Phone (614) 447-9495

770 Jasonway Ave
Suite G2
Columbus, OH 43214-4333
Phone (614) 459-3687

8050 E Main St
Suite 1200
Reynoldsburg, OH 43068-2575
Phone (614) 259-0923

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. Internal Medicine CurrentSince Jun 30, 2001 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Jun 30, 2001 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1493 Parsons Ave
Columbus, OH 43207
Phone (614) 444-1040

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

770 Jasonway Ave
Ste G2
Columbus, OH 43214
Phone (614) 326-1502

3535 Fishinger Blvd
Ste 285
Hilliard, OH 43026
Phone (614) 527-2562

291 W Schrock Rd
Ste B
Westerville, OH 43081
Phone (614) 776-5750

450 Alkyre Run
Ste 380
Westerville, OH 43082
Phone (614) 839-9173

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: dsharkis18939@copcp.medicity.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1205811874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 JASONWAY AVE",
            "address_2": "SUITE G-2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144333",
            "telephone_number": "614-459-3687",
            "fax_number": "614-459-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 JASONWAY AVE",
            "address_2": "SUITE G-2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144333",
            "telephone_number": "614-459-3687",
            "fax_number": "614-459-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARKIS",
        "first_name": "DAVID",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-07-1988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2010915",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.