Organization Active NPI

Internists, Inc.

  • Nephrology Physician
  • Columbus, OH
National Provider Identifier
1245392430
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35033387 Issued in OH
Legal business name
INTERNISTS, INC.
Practice address
985 W 3Rd Ave
Columbus, OH 43212-3109
Phone
(614) 291-0022
Fax
(614) 291-6687
NPI assigned
Dec 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rolando C Congbalay, M.D.NPI 1710053160
Title
President, Ceo
Phone
(614) 291-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 35033387 OH Primary

Addresses

Primary practice location

985 W 3Rd Ave
Columbus, OH 43212-3109

Mailing address

985 W 3Rd Ave
Columbus, OH 43212-3109
Phone (614) 291-0022

Other identifiers 1

IdentifierTypeStateIssuer
0224724MedicaidOH

National Provider Directory

National Provider Directory

Locations

777 W State St
Ste 504
Columbus, OH 43222
Phone (614) 221-4775

985 W 3rd Ave
Columbus, OH 43212
Phone (614) 221-0524

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245392430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 W 3RD AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123109",
            "telephone_number": "614-291-0022",
            "fax_number": "614-291-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 W 3RD AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123109",
            "telephone_number": "614-291-0022",
            "fax_number": "614-291-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONGBALAY",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "614-291-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35033387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0224724",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.