Active NPI
Llana Pootrakul, MD
- MOHS-Micrographic Surgery Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 35.126662
- Practice address
- 2050 Kenny Rd FL 4
Columbus, OH 43221-3502 - Phone
- (614) 293-0404
- Fax
- (614) 366-7147
- NPI assigned
- Jun 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | 35.126662 | OH | Primary |
| Dermatology Physician | 207N00000X | 35.126662 | OH |
Addresses
Primary practice location
2050 Kenny Rd FL 4
Columbus, OH 43221-3502
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-0404
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lpootrakul32764@direct.osumc.edu |
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
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1328 Dublin Rd
Columbus, OH 43215-1054
Phone (614) 293-1707
2050 Kenny Rd
Columbus, OH 43221-3502
Phone (614) 293-3890
3900 Stoneridge LN
Dublin, OH 43017-2288
Phone (614) 366-5001
540 Officenter PL
Gahanna, OH 43230-5317
Phone (614) 293-1707
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 62 |
| Removal of skin lesions | 22 |
| Removal of skin cancer | 270 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osu Internal Medicine, LLC | Dermatology | Current | Accepting new patients |
Locations
2050 Kenny Rd
Fl 4
Columbus, OH 43221
Phone (614) 293-0404
700 Ackerman Rd
Ste 570
Columbus, OH 43202
Phone (614) 293-2046
700 Ackerman Rd
Ste 2120
Columbus, OH 43202
3900 Stoneridge Ln
Dublin, OH 43017
Phone (614) 366-5001
540 Officenter Pl
Ste 240
Gahanna, OH 43230
Phone (614) 688-9542
Interoperability endpoints
- lpootrakul32764@direct.osumc.edu
- llana.pootrakul.1@17598.direct.athenahealth.com
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 and National Provider Directory roles.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Columbus, OH
- NPI 1124127683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1326332792",
"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": "614-293-0404",
"fax_number": "614-366-7147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 KENNY RD FL 4",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432213502",
"telephone_number": "614-293-0404",
"fax_number": "614-366-7147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOTRAKUL",
"first_name": "LLANA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-02",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "OH",
"license": "35.126662",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OH",
"license": "35.126662",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lpootrakul32764@direct.osumc.edu",
"affiliation": "N",
"address_1": "2050 Kenny Rd Fl 4",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432213502",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 3, 2026; 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.