Active NPI
Diana Bharucha-Goebel, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 35.154381
- Practice address
- 555 S 18TH St
Columbus, OH 43205-2654 - Phone
- (614) 722-2000
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | MD041530 | DC | |
| Pediatrics Physician | 208000000X | MT190249 | PA | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 35.154381 | OH | Primary |
Addresses
Primary practice location
555 S 18TH St
Columbus, OH 43205-2654
Mailing address
700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000
Other practice location 1
584 County Line Rd W
Westerville, OH 43082-7295
Phone (614) 722-2000
Other practice location 2
405 Butterfly Gardens Dr
Columbus, OH 43215-4985
Phone (614) 722-2000
Other practice location 3
700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000
Other practice location 4
433 N Cleveland Ave
Westerville, OH 43082-8095
Phone (614) 722-2000
Other practice location 5
536 S Trimble Rd
Mansfield, OH 44906-3418
Phone (614) 722-2000
Other practice location 6
455 Executive Campus Dr
Westerville, OH 43082-8870
Phone (614) 722-2000
Other practice location 7
5675 Venture Dr
Dublin, OH 43017-2159
Phone (614) 722-2000
Other practice location 8
6435 E Broad St
Columbus, OH 43213-1507
Phone (614) 722-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0139888 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Drexel University College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
700 Childrens Dr
Columbus, OH 43205-2639
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT190249 | PA | MD | Pediatrics Physician |
| 35.154381 | OH | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Academic Association, Inc. | Pediatrics | Current | Accepting new patients |
| Nationwide Children'S Hospital | Pediatrics | Current | Accepting new patients |
| Children'S Hospital | Current | Accepting new patients | |
| Nationwide Children'S Hospital | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670
Dept 781629
Detroit, MI 48278
6435 E Broad St
Columbus, OH 43213
Phone (614) 355-8100
Dept L289
Columbus, OH 43260
405 Butterfly Gardens Dr
Columbus, OH 43215
Phone (614) 722-4200
700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411
555 S 18th St
Columbus, OH 43205
Phone (614) 722-4554
1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600
5675 Venture Dr
Dublin, OH 43017
Phone (614) 355-9580
536 S Trimble Rd
Mansfield, OH 44906
Phone (419) 528-3150
433 N Cleveland Ave
Westerville, OH 43082
Phone (614) 355-8300
584 County Line Rd W
Westerville, OH 43082
Phone (614) 355-6052
455 Executive Campus Dr
Westerville, OH 43082
Phone (614) 355-6100
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Columbus, OH
- NPI 1063419943
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
-
- Durable Medical Equipment & Medical Supplies
- Columbus, OH
- NPI 1447061262
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1376740746",
"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": "614-722-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S 18TH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052654",
"telephone_number": "614-722-2000"
}
],
"practiceLocations": [
{
"address_1": "584 County Line Rd W",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430827295",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 Butterfly Gardens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432154985",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Childrens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432052664",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "433 N Cleveland Ave",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430828095",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "536 S Trimble Rd",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "OH",
"postal_code": "449063418",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 Executive Campus Dr",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430828870",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5675 Venture Dr",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "430172159",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6435 E Broad St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432131507",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHARUCHA-GOEBEL",
"first_name": "DIANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "DC",
"license": "MD041530",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MT190249",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "OH",
"license": "35.154381",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0139888",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 10, 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.