Individual provider Active NPI

Wilawan Nopkhun, M.D.

  • Pediatric Rehabilitation Medicine Physician
  • Columbus, OH
National Provider Identifier
1366672339
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
35127205 Issued in OH
Practice address
700 Childrens Dr
Columbus, OH 43205-2664
Phone
(614) 722-5050
Fax
(614) 722-5058
NPI assigned
Jul 23, 2009
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 35127205 OH
Pediatric Rehabilitation Medicine Physician 2081P0010X 35127205 OH Primary

Addresses

Primary practice location

700 Childrens Dr
Columbus, OH 43205-2664

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-5050

Other practice location 1

479 Parsons Ave
Columbus, OH 43215-5577
Phone (614) 722-5050

Other practice location 2

555 S 18th St
Columbus, OH 43205-2654
Phone (614) 722-5050

Other practice location 3

499 E Weisheimer Rd
Columbus, OH 43214-2238
Phone (614) 722-5050

Other identifiers 1

IdentifierTypeStateIssuer
0142957MedicaidOH

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
I20151102001758 OH Practitioner - Physical Medicine and Rehabilitation 4183934201 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35127205OHMDPediatric Rehabilitation Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Academic Association, Inc. CurrentSince Oct 1, 2015 Accepting new patients
Nationwide Children's Hospital CurrentSince Sep 2, 2024 Accepting new patients
Nationwide Children's Hospital CurrentSince Sep 2, 2024 Accepting new patients
Nationwide Children's Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

Dept 781629
Detroit, MI 48278

479 Parsons Ave
Columbus, OH 43215
Phone (614) 272-8888

499 E Weisheimer Rd
Columbus, OH 43214
Phone (614) 365-6001

555 S 18th St
Columbus, OH 43205
Phone (614) 722-4554

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

Dept L289
Columbus, OH 43260

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

Organizations & group practices 5

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": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1366672339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-5050",
            "fax_number": "614-722-5058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "479 Parsons Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432155577",
            "country_code": "US",
            "telephone_number": "614-722-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 S 18th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052654",
            "country_code": "US",
            "telephone_number": "614-722-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "499 E Weisheimer Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432142238",
            "country_code": "US",
            "telephone_number": "614-722-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOPKHUN",
        "first_name": "WILAWAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35127205",
            "primary": false
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "OH",
            "license": "35127205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142957",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.