Individual provider Active NPI

Anoosheh Behrooz, M.D.

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1356400410
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.096326 Issued in OH
Practice address
1800 Zollinger Rd FL 5
Columbus, OH 43221-2800
Phone
(614) 293-7417
Fax
(614) 293-5167
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME97094 FL
Family Medicine Physician 207Q00000X 35.096326 OH Primary

Addresses

Primary practice location

1800 Zollinger Rd FL 5
Columbus, OH 43221-2800

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-7417

Other identifiers 1

IdentifierTypeStateIssuer
3114329MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abehrooz24925@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125000372 OH Practitioner - Family Practice 6901995455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osu General Internal Medicine LLCGroup PAC ID 7517103955, 270 clinicians

Practice addresses (Care Compare)

1800 Zollinger Rd
Columbus, OH 43221-2849
Phone (614) 293-7417

2050 Kenny Rd
Columbus, OH 43221-3502
Phone (614) 293-8054

Hospital & facility affiliations

  • Gem City Home Care Home health agency, Dublin, OH, CCN 368184
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • James Cancer Hospital & Solove Research Institute Hospital, Columbus, OH, CCN 360242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME97094FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osu General Internal Medicine LLC Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

543 Taylor Ave
Fl 2
Columbus, OH 43203
Phone (614) 293-2700

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

700 Ackerman Rd
Ste 570
Columbus, OH 43202
Phone (614) 293-2046

2231 N High St
Columbus, OH 43201
Phone (614) 293-2700

2050 Kenny Rd
Columbus, OH 43221
Phone (614) 293-8054

1800 Zollinger Rd
Upper Arlington, OH 43221
Phone (614) 293-2130

1800 Zollinger Rd
Fl 5
Upper Arlington, OH 43221
Phone (614) 293-2700

Organizations & group practices 2

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 5

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1356400410",
    "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": "614-293-7417",
            "fax_number": "614-293-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ZOLLINGER RD FL 5",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212800",
            "telephone_number": "614-293-7417",
            "fax_number": "614-293-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHROOZ",
        "first_name": "ANOOSHEH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME97094",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.096326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3114329",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abehrooz24925@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "1800 Zollinger Rd Fl 5",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432212800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.