Active NPI
Giovanni Mario Lujan, MD
- Anatomic Pathology & Clinical Pathology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 35.086723
- Practice address
- 410 W 10TH Ave
Columbus, OH 43210-1240 - Phone
- (614) 366-5458
- Fax
- (614) 293-2779
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 2005-00710 | NC | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35.086723 | OH | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME94351 | FL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | L8421 | TX | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 5829457-1205 | UT | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 27635 | SC | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD.200176 | LA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | D59742 | MD | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 056336 | GA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 36050 | IA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 24686 | OK |
Addresses
Primary practice location
410 W 10TH Ave
Columbus, OH 43210-1240
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 366-5458
Other names 1
- Mario Geovanni Lujan Castillo
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
- Pathology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-5905
Hospital & facility affiliations
- Ohio State University State Health System
- James Cancer Hospital & Solove Research Institute
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME94351 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
| 056336 | GA | MD | Anatomic Pathology & Clinical Pathology Physician |
| 36050 | IA | MD | Anatomic Pathology & Clinical Pathology Physician |
| MD.200176 | LA | MD | Anatomic Pathology & Clinical Pathology Physician |
| D59742 | MD | MD | Anatomic Pathology & Clinical Pathology Physician |
| 2005-00710 | NC | MD | Anatomic Pathology & Clinical Pathology Physician |
| 35.086723 | OH | MD | Anatomic Pathology & Clinical Pathology Physician |
| 24686 | OK | MD | Anatomic Pathology & Clinical Pathology Physician |
| 27635 | SC | MD | Anatomic Pathology & Clinical Pathology Physician |
| L8421 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
| 5829457-1205 | UT | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osu Pathology Services, LLC | Current | Accepting new patients | |
| Osu Pathology Services LLC | Current | Accepting new patients |
Locations
410 W 10th Ave
#E403
Columbus, OH 43210
Phone (614) 293-5905
700 Ackerman Rd
Ste 2120
Columbus, OH 43202
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
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.
-
- Clinical Pathology Physician
- Columbus, OH
- NPI 1083713820
-
- Clinical Pathology Physician
- Marysville, OH
- NPI 1184709925
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Columbus, OH
- NPI 1124127683
-
- Rehabilitation Hospital Unit
- Columbus, OH
- NPI 1184723637
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1447359997
-
- Psychiatric Hospital Unit
- Columbus, OH
- NPI 1790876183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1366426868",
"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": "614-366-5458",
"fax_number": "614-293-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W 10TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101240",
"telephone_number": "614-366-5458",
"fax_number": "614-293-2779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUJAN",
"first_name": "GIOVANNI",
"middle_name": "MARIO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NC",
"license": "2005-00710",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "35.086723",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME94351",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "L8421",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "UT",
"license": "5829457-1205",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "SC",
"license": "27635",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "LA",
"license": "MD.200176",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MD",
"license": "D59742",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "056336",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IA",
"license": "36050",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OK",
"license": "24686",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIO",
"last_name": "LUJAN CASTILLO",
"middle_name": "GEOVANNI",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 1, 2025; 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.