NPIMap

Individual provider Active NPI

John M Dipietra, MD

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1295770469
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35066297D Issued in OH
Practice address
5969 East Broad Street
2ND Floor
Columbus, OH 43213
Phone
(614) 864-6010
Fax
(614) 864-0306
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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 35066297D OH Primary

Addresses

Primary practice location

5969 East Broad Street
2ND Floor
Columbus, OH 43213

Mailing address

5969 East Broad Street
2ND Floor
Columbus, OH 43213
Phone (614) 864-6010

Other identifiers 1

IdentifierTypeStateIssuer
0454119MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100521000893 OH Practitioner - Internal Medicine 3173652633 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Primary Care Physicians, Inc.Group PAC ID 2769383785, 487 clinicians

Practice addresses (Care Compare)

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

4895 Olentangy River Rd
Columbus, OH 43214-1185

6201 Gender Rd
Canal Winchester, OH 43110-2007
Phone (614) 834-8042

625 Africa Rd
Westerville, OH 43082-0002

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

8050 E Main St
Renoldsburg, OH 43068-2652

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

Hospital & facility affiliations

  • Mount Carmel Home Care Home health agency, Columbus, OH, CCN 367273
  • Wesley Hospice, LLC Hospice, New Albany, OH, CCN 361665
  • Bella Care Hospice Hospice, Westerville, OH, CCN 361646
  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Wesley Woods at New Albany Nursing home, New Albany, OH, CCN 366470
  • Tuscany Gardens Nursing home, Pataskala, OH, CCN 366353
  • Robert a Barnes Center Nursing home, Reynoldsburg, OH, CCN 366411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35066297DOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
CHS - Pataskala, Inc Past Accepting new patients
Radiology Inc PastSince Feb 9, 1994 Accepting new patients
Mount Carmel Healthproviders Two LLC Past Accepting new patients

Locations

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

5969 E Broad St
Ste 200
Columbus, OH 43213
Phone (614) 864-6010

8050 E Main St
Ste 2200
Reynoldsburg, OH 43068
Phone (614) 367-0585

Interoperability endpoints

  • Direct secure messaging: jdipietra19054@copcp.medicity.net

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Tuscany GardensPataskala, OH, CCN 366353 Skilled nursing facility Adp of the SNF Jun 1, 2018
Robert a Barnes CenterReynoldsburg, OH, CCN 366411 Skilled nursing facility Contracted Managing Employee Jan 1, 2024
Wesley Woods at New AlbanyNew Albany, OH, CCN 366470 Skilled nursing facility Contracted Managing Employee Jan 1, 2024

Owned or controlled facilities with NPI records 3

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

Organizations & group practices 8

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1295770469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5969 EAST BROAD STREET",
            "address_2": "2ND FLOOR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43213",
            "telephone_number": "614-864-6010",
            "fax_number": "614-864-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5969 EAST BROAD STREET",
            "address_2": "2ND FLOOR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43213",
            "telephone_number": "614-864-6010",
            "fax_number": "614-864-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPIETRA",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35066297D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0454119",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.