Individual provider Active NPI

Gwyn Rene Londeree, M.D.

  • Specialist
  • Columbus, OH
National Provider Identifier
1225025067
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35-06-9165L Issued in OH
Practice address
4900 Gettysburg Rd
Columbus, OH 43220-2520
Phone
(614) 442-0100
Fax
(614) 442-7753
NPI assigned
Oct 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35-06-9165L OH Primary

Addresses

Primary practice location

4900 Gettysburg Rd
Columbus, OH 43220-2520

Mailing address

1083 Firth Ave
Worthington, OH 43085-2913
Phone (614) 442-0100

Other identifiers 1

IdentifierTypeStateIssuer
000000197955OtherOHANTHEM BC/BS

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
I20100429000676 OH Practitioner - Dermatology 6709948367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio State University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Dermatology IncGroup PAC ID 2466589080, 3 clinicians

Practice addresses (Care Compare)

4900 Gettysburg Rd
Columbus, OH 43220-2520
Phone (614) 442-1012

Merit-based Incentive Payment System (MIPS)

Final score
86.97 of 100Reported as individual
Quality
73.94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision119
Removal of skin lesions707
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy220

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Dermatology, Inc CurrentSince Apr 1, 2010 Accepting new patients
Mid Ohio Dermatology Specialist PastSince Apr 1, 2010 Accepting new patients

Locations

4900 Gettysburg Rd
Columbus, OH 43220
Phone (614) 442-0100

Interoperability endpoints

  • Direct secure messaging: glonderee@encore.encitedirect.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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1225025067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 FIRTH AVE",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852913",
            "telephone_number": "614-442-0100",
            "fax_number": "614-442-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 GETTYSBURG RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202520",
            "telephone_number": "614-442-0100",
            "fax_number": "614-442-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDEREE",
        "first_name": "GWYN",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-06-9165L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000197955",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.