Individual provider Active NPI

Hany Emam, BDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Columbus, OH
National Provider Identifier
1316176944
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
30.024022 Issued in OH
Practice address
305 W 12TH Ave RM 2110
Columbus, OH 43210-1267
Phone
(614) 292-5144
Fax
(614) 292-1103
NPI assigned
Jul 2, 2009
Last updated
Dec 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30-024022 OH
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 30.024022 OH Primary

Addresses

Primary practice location

305 W 12TH Ave RM 2110
Columbus, OH 43210-1267

Mailing address

305 W 12TH Ave
Room 2110
Columbus, OH 43210-1267
Phone (614) 292-5144

Other practice location 1

700 Childrens Dr
Columbus, OH 43205-2639
Phone (614) 722-5651

Other identifiers 1

IdentifierTypeStateIssuer
0087218MedicaidOH

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
I20130821001037 OH Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 0547403628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Georgia Regents University College of Dental Medicine, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Ohio State Dental Faculty Practice IncGroup PAC ID 5496788630, 4 clinicians

Practice addresses (Care Compare)

305 W 12TH Ave
Columbus, OH 43210-1267
Phone (614) 292-1472

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio State Dental Faculty Practice Inc CurrentSince Jul 16, 2013 Accepting new patients

Locations

305 W 12th Ave
Columbus, OH 43210
Phone (614) 292-1472

305 W 12th Ave
#2110
Columbus, OH 43210

305 W 12th Ave
Rm 2110
Columbus, OH 43210
Phone (614) 292-5144

Interoperability endpoints

  • Direct secure messaging: hemam221006@direct.osumc.edu

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1316176944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W 12TH AVE",
            "address_2": "ROOM 2110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101267",
            "telephone_number": "614-292-5144",
            "fax_number": "614-292-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W 12TH AVE RM 2110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101267",
            "telephone_number": "614-292-5144",
            "fax_number": "614-292-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052639",
            "country_code": "US",
            "telephone_number": "614-722-5651",
            "fax_number": "614-355-4497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMAM",
        "first_name": "HANY",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30-024022",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OH",
            "license": "30.024022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087218",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.