Individual provider Active NPI

Bella Xinyi O'Malley, MD

  • Pediatrics Physician
  • Columbus, OH
National Provider Identifier
1265061071
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.150466 Issued in OH
Practice address
4885 Olentangy River Rd Ste 2-10
Columbus, OH 43214-1993
Phone
(614) 267-7878
Fax
(614) 267-7077
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.150466 OH Primary

Addresses

Primary practice location

4885 Olentangy River Rd Ste 2-10
Columbus, OH 43214-1993

Mailing address

4885 Olentangy River Rd Ste 2-10
Columbus, OH 43214-1993
Phone (614) 267-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230726002120 TX Practitioner - Pediatric Medicine 1456712264 Reassigns benefits to 1 organization
I20240815003994 OH Practitioner - Pediatric Medicine 1456712264 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.150466OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Jul 12, 2023 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Jul 12, 2023 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Pediatrics CurrentSince Jul 15, 2024 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Jul 15, 2024 Accepting new patients
Complex Care Medical Services Corporation Pediatrics Past Accepting new patients

Locations

4885 Olentangy River Rd
Ste 2-10
Columbus, OH 43214
Phone (614) 267-7878

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

655 Africa Rd
Westerville, OH 43082

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

1935 Medical District Dr
#908
Dallas, TX 75235

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

Interoperability endpoints

  • Direct secure messaging: bomalley80642@copcp.medicity.net
  • Direct secure messaging: bomalley109851@direct.phhs.org

Organizations & group practices 6

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1265061071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 OLENTANGY RIVER RD STE 2-10",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141993",
            "telephone_number": "614-267-7878",
            "fax_number": "614-267-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 OLENTANGY RIVER RD STE 2-10",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141993",
            "telephone_number": "614-267-7878",
            "fax_number": "614-267-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MALLEY",
        "first_name": "BELLA",
        "middle_name": "XINYI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.150466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.