Individual provider Active NPI

Mark Alan Buddie, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Columbus, OH
National Provider Identifier
1255369484
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
35.067139 Issued in OH
Practice address
2400 Corporate Exchange Dr Ste 110
Columbus, OH 43231-7606
Phone
(614) 695-5696
Fax
(877) 338-0433
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 35.067139 OH Primary

Addresses

Primary practice location

2400 Corporate Exchange Dr Ste 110
Columbus, OH 43231-7606

Mailing address

2400 Corporate Exchange Dr Ste 110
Columbus, OH 43231-7606
Phone (614) 695-5696

Other identifiers 1

IdentifierTypeStateIssuer
0981666MedicaidOH

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
I20260225000248 OH Order and Referring Only - Hospice/Palliative CarePractitioner - Hospice/Palliative Care 5799689345

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.067139OHMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminary Hospice of Ohio, LLC Geriatric Medicine CurrentSince Jul 7, 2022 Accepting new patients
American Health Network of Ohio, LLC Current Accepting new patients

Locations

2400 Corporate Exchange Dr
Ste 110
Columbus, OH 43231
Phone (614) 695-5696

2500 Corporate Exchange Dr
Ste 100
Columbus, OH 43231
Phone (614) 794-4500

3825 Trueman Ct
Hilliard, OH 43026
Phone (614) 451-8797

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Luminary HospiceColumbus, OH, CCN 361741 Hospice Contracted Managing Employee Jul 7, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1255369484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CORPORATE EXCHANGE DR STE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432317606",
            "telephone_number": "614-695-5696",
            "fax_number": "877-338-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CORPORATE EXCHANGE DR STE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432317606",
            "telephone_number": "614-695-5696",
            "fax_number": "877-338-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDIE",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35.067139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0981666",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.