Active NPI
Walter J Mysiw, MD
- Physical Medicine & Rehabilitation Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 35.047723
- Practice address
- 2050 Kenny Rd Ste 3300
Columbus, OH 43221-3502 - Phone
- (614) 366-9211
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 35.047723 | OH | Primary |
Addresses
Primary practice location
2050 Kenny Rd Ste 3300
Columbus, OH 43221-3502
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 366-9211
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100204000514 | OH | Practitioner - Physical Medicine and Rehabilitation | 0244373843 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Ohio State University College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osu Physical Medicine and Rehabilitation LLC
Practice addresses (Care Compare)
2050 Kenny Rd
Columbus, OH 43221-3502
Phone (614) 366-9211
Hospital & facility affiliations
- Ohio State University State Health System
- James Cancer Hospital & Solove Research Institute
- Ohio State University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osu Physical Medicine and Rehabilitation, LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Ohio State University Hospitals | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
480 Medical Center Dr
Columbus, OH 43210
Phone (614) 293-3830
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
700 Ackerman Rd
Ste 2120
Columbus, OH 43202
700 Ackerman Rd
Ste 570
Columbus, OH 43202
Phone (614) 293-2046
2050 Kenny Rd
Ste 3300
Columbus, OH 43221
Phone (614) 366-9211
700 Ackerman Rd
Ste 370
Columbus, OH 43202
2050 Kenny Rd
Columbus, OH 43221
Phone (614) 293-8054
300 W 10th Ave
Columbus, OH 43210
Phone (614) 293-3276
480 Medical Center Dr
Ste 1041
Columbus, OH 43210
Phone (614) 366-9211
Interoperability endpoints
- wmysiw13428@direct.osumc.edu
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Columbus, OH
- NPI 1003029455
OH, Physical Medicine & Rehabilitation
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1447359997
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Columbus, OH
- NPI 1124127683
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1306937867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 2120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-366-9211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 KENNY RD STE 3300",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432213502",
"telephone_number": "614-366-9211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYSIW",
"first_name": "WALTER",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "35.047723",
"primary": true
}
],
"identifiers": [],
"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 Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.