Individual provider Active NPI

Rachael Therese Pappa, DO

  • Pediatrics Physician
  • Grove City, OH
National Provider Identifier
1316400146
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34.015953 Issued in OH
Practice address
4074 Gantz Rd
Grove City, OH 43123-4816
Phone
(614) 917-1346
Fax
(614) 259-0619
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34.015953 OH Primary

Addresses

Primary practice location

4074 Gantz Rd
Grove City, OH 43123-4816

Mailing address

4074 Gantz Rd
Grove City, OH 43123-4816
Phone (614) 917-1346

Other identifiers 1

IdentifierTypeStateIssuer
0496816MedicaidOH

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
I20220805002091 OH Practitioner - Pediatric Medicine 1557696234 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.015953OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Sep 12, 2022 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. Pediatrics CurrentSince Sep 12, 2022 Accepting new patients

Locations

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

4074 Gantz Rd
Grove City, OH 43123
Phone (614) 871-8500

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: rpappa19087@copcp.medicity.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1316400146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4074 GANTZ RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431234816",
            "telephone_number": "614-917-1346",
            "fax_number": "614-259-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4074 GANTZ RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431234816",
            "telephone_number": "614-917-1346",
            "fax_number": "614-259-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPA",
        "first_name": "RACHAEL",
        "middle_name": "THERESE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34.015953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0496816",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.