Individual provider Active NPI

Derek P Fleming, M.D.

  • Anesthesiology Physician
  • Columbus, OH
National Provider Identifier
1316161292
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35094723 Issued in OH
Practice address
5151 Reed Rd
Suite 225-C
Columbus, OH 43220-2595
Phone
(614) 457-2306
Fax
(614) 884-0776
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35094723 OH Primary

Addresses

Primary practice location

5151 Reed Rd
Suite 225-C
Columbus, OH 43220-2595

Mailing address

5151 Reed Rd
Suite 225-C
Columbus, OH 43220-2595
Phone (614) 457-2306

Other identifiers 3

IdentifierTypeStateIssuer
35094723OtherOHSTATE MEDICAL LICENSE
1316161292OtherOHMEDICARE RAILROAD
3089590MedicaidOH

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
I20100825000081 OH Practitioner - Anesthesiology 2769506963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Toledo College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Physician Anesthesia Services, Inc.Group PAC ID 8921997230, 159 clinicians

Practice addresses (Care Compare)

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-4919

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35094723OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Physician Anesthesia Services, Inc. Anesthesiology CurrentSince Jul 19, 2010 Accepting new patients
Deperro Plastic Surgery, LLC Past Accepting new patients

Locations

5151 Reed Rd
Ste 225C
Columbus, OH 43220
Phone (614) 457-2306

2240 N Bank Dr
Uppr Arl
Columbus, OH 43220
Phone (614) 442-6515

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

199 W Main St
Shelby, OH 44875
Phone (419) 342-5015

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.

Hospital & facility affiliations 3

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1316161292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 REED RD",
            "address_2": "SUITE 225-C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202595",
            "telephone_number": "614-457-2306",
            "fax_number": "614-884-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 REED RD",
            "address_2": "SUITE 225-C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202595",
            "telephone_number": "614-457-2306",
            "fax_number": "614-884-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "DEREK",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35094723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "35094723",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "1316161292",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3089590",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.