Individual provider Active NPI

Shoba Belegundu, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Columbus, OH
National Provider Identifier
1386053304
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
35.132325 Issued in OH
Practice address
393 E Town St Ste 116
Columbus, OH 43215-4799
Phone
(614) 566-9108
Fax
(614) 566-8737
NPI assigned
Aug 4, 2014
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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 35.132325 OH
Geriatric Medicine (Family Medicine) Physician 207QG0300X 35.132325 OH Primary

Addresses

Primary practice location

393 E Town St Ste 116
Columbus, OH 43215-4799

Mailing address

PO Box 7527
Bolwell Family Health Clinic
Dublin, OH 43017-0727
Phone (614) 566-9108

Other practice location 1

477 Cooper Rd Ste 300
Westerville, OH 43081-8057
Phone (614) 898-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbelefundu1300959@direct.ohiohealth.com OhioHealth Corporation

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
I20250829002743 OH Order and Referring Only - Geriatric MedicinePractitioner - Geriatric Medicine 4880955046

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4115 Bridge Ave
Suite 300
Cleveland, OH 44113-3304

6150 E Broad St
Columbus, OH 43213-1574

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.28 of 100Reported as group
Quality
99.21
Improvement activities
40
Cost
62.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.132325OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Mount Carmel Health System Past Accepting new patients
Mount Carmel Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sbelegundu1147916@direct.trinity-health.org
  • Direct secure messaging: sbelegundu138754@direct.metrohealth.org

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.

Hospital & facility affiliations 1

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": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1386053304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "address_2": "BOLWELL FAMILY HEALTH CLINIC",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727",
            "telephone_number": "614-566-9108",
            "fax_number": "614-566-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 E TOWN ST STE 116",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154799",
            "telephone_number": "614-566-9108",
            "fax_number": "614-566-8737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "477 Cooper Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430818057",
            "country_code": "US",
            "telephone_number": "614-898-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELEGUNDU",
        "first_name": "SHOBA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.132325",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35.132325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbelefundu1300959@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Corporation",
            "address_1": "393 E Town St Ste 116",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432154799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.