Individual provider Active NPI

Ayser C Hamoudi, MD

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1356307094
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35034135Q Issued in OH
Practice address
1480 Grandview Ave
Columbus, OH 43212
Phone
(614) 486-9461
Fax
(614) 486-2318
NPI assigned
Apr 21, 2006
Last updated
Jan 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35034135Q OH Primary

Addresses

Primary practice location

1480 Grandview Ave
Columbus, OH 43212

Mailing address

1480 Grandview Ave
Columbus, OH 43212
Phone (614) 486-9461

Other identifiers 1

IdentifierTypeStateIssuer
0151286MedicaidOH

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
I20230818000582 OH Practitioner - Family PracticePractitioner - Addiction Medicine 2567556780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parveenco International LLCGroup PAC ID 2365545803, 3 clinicians

Practice addresses (Care Compare)

246 E Campus View Blvd
Columbus, OH 43235-4634
Phone (614) 505-3126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35034135QOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quiet Waters Clinics LLC Current Accepting new patients
Quiet Waters Clinics LLC CurrentSince Sep 11, 2025 Accepting new patients

Locations

9039 Antares Ave
Ste B
Columbus, OH 43240
Phone (614) 505-0077

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1356307094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 GRANDVIEW AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43212",
            "telephone_number": "614-486-9461",
            "fax_number": "614-486-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 GRANDVIEW AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43212",
            "telephone_number": "614-486-9461",
            "fax_number": "614-486-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMOUDI",
        "first_name": "AYSER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35034135Q",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151286",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.