Individual provider Active NPI

Anthony D. Cozzolino Jr., DPM

  • Podiatrist
  • Columbus, OH
National Provider Identifier
1336215623
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36.003394 Issued in OH
Practice address
1275 Olentangy River Rd Ste 10
Columbus, OH 43212-3119
Phone
(614) 291-5555
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36.003394 OH Primary

Addresses

Primary practice location

1275 Olentangy River Rd Ste 10
Columbus, OH 43212-3119

Mailing address

1275 Olentangy River Rd Ste 10
Columbus, OH 43212-3119
Phone (614) 291-5555

Other identifiers 2

IdentifierTypeStateIssuer
000000351734OtherOHANTHEM PIN
311253312-00OtherOHWORKERS COMP, RICK#097710

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041206000643 OH Practitioner - Podiatry 8820054422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David B Kaplansky DPM IncGroup PAC ID 5890738652, 3 clinicians

Practice addresses (Care Compare)

1275 Olentangy River Rd
Suite 10
Columbus, OH 43212-3119
Phone (614) 291-5555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue214
Removal of skin lesions1-10
Removal of nail tissue314
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David B Kaplansky DPM Inc Podiatrist CurrentSince Mar 6, 2017 Accepting new patients
Long Island Podiatry Group, P.C. Podiatrist PastSince Mar 1, 1993 Accepting new patients
Ketamine Health & Wellness Clinics of Ohio LLC PastSince Jun 4, 2023 Accepting new patients
Central Ohio Podiatry Group Inc PastSince Mar 1, 2004 Accepting new patients
Long Island Podiatry Group, P.C. PastSince Jul 21, 2024 Accepting new patients
Ohio Pulmonary & Sleep Consultants, Inc. PastSince Mar 6, 2017 Accepting new patients

Locations

1275 Olentangy River Rd
Ste 10
Columbus, OH 43212
Phone (614) 291-5555

6200 Pleasant Ave
Ste 3
Fairfield, OH 45014
Phone (513) 745-9988

7509 E Main St
Ste 102
Reynoldsburg, OH 43068
Phone (614) 864-4232

Interoperability endpoints

  • Direct secure messaging: acozzolino1157978@direct.trinity-health.org
  • FHIR API: https://api.platform.athenahealth.com/25438/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1336215623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 OLENTANGY RIVER RD STE 10",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123119",
            "telephone_number": "614-291-5555",
            "fax_number": "614-291-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 OLENTANGY RIVER RD STE 10",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123119",
            "telephone_number": "614-291-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COZZOLINO",
        "first_name": "ANTHONY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.003394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000351734",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP, RICK#097710",
            "identifier": "311253312-00",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.