Individual provider Active NPI

Patrick Shayne Rheaume, M.D.

  • Gynecology Physician
  • Westerville, OH
National Provider Identifier
1306009170
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
35099558 Issued in OH
Practice address
904 Eastwind Dr
Westerville, OH 43081-3329
Phone
(614) 890-1914
Fax
(614) 890-4988
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gynecology Physician 207VG0400X 35099558 OH Primary

Addresses

Primary practice location

904 Eastwind Dr
Westerville, OH 43081-3329

Mailing address

904 Eastwind Dr
Westerville, OH 43081-3329
Phone (614) 890-1914

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
I20120709000305 OH Practitioner - Obstetrics/Gynecology 1456516954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Southern Illinois University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oh Independent Medical Group LLCGroup PAC ID 0648646034, 136 clinicians

Practice addresses (Care Compare)

2000 Newark Granville Rd
Suite 201
Granville, OH 43023-7010
Phone (614) 890-1914

444 N Cleveland Ave
Suite 120
Westerville, OH 43082-8388
Phone (614) 818-0300

904 Eastwind Dr
Westerville, OH 43081-3329
Phone (614) 890-1914

Hospital & facility affiliations

  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35099558OHMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jul 1, 2015 Accepting new patients
Oh Independent Medical Group LLC CurrentSince Jun 3, 2024 Accepting new patients
Eastwind Womens Health Inc Gynecology CurrentSince Aug 1, 2012 Accepting new patients
Oh Independent Medical Group LLC CurrentSince Jun 3, 2024 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 1, 2015 Accepting new patients
Mount Carmel Health System Past Accepting new patients
Ohiohealth Corporation Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

7450 Hospital Dr
Ste 4500
Dublin, OH 43016
Phone (614) 566-0166

2000 Newark Granville Rd
Ste 201
Granville, OH 43023
Phone (614) 890-1914

904 Eastwind Dr
Westerville, OH 43081
Phone (614) 890-1914

444 N Cleveland Ave
Ste 120
Westerville, OH 43082
Phone (614) 818-0300

Interoperability endpoints

  • Direct secure messaging: patrick.rheaume.1@26020.direct.athenahealth.com

Organizations & group practices 7

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1306009170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 EASTWIND DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430813329",
            "telephone_number": "614-890-1914",
            "fax_number": "614-890-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 EASTWIND DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430813329",
            "telephone_number": "614-890-1914",
            "fax_number": "614-890-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEAUME",
        "first_name": "PATRICK",
        "middle_name": "SHAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "35099558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.