Matthew Colonna, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.008261RX Issued in OH

Practice address

765 N Hamilton Rd Ste 255
Gahanna, OH 43230-8703

Phone

(614) 788-9199

Fax

(614) 533-0232

NPI assigned

Sep 19, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Central Ohio Hospitalists, Inc

  • Specialist
  • Columbus, OH
  • NPI 1659455145
  Medicare reassignment
• Pai Participant 1 LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chillicothe, OH
  • NPI 1093371312
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1386367084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 N HAMILTON RD STE 255",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432308703",
            "telephone_number": "614-788-9199",
            "fax_number": "614-533-0232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3525 Olentangy River Rd Ste 4330",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432143937",
            "country_code": "US",
            "telephone_number": "614-255-6900",
            "fax_number": "614-255-6901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Byng Dr",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253031716",
            "country_code": "US",
            "telephone_number": "304-767-8693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLONNA",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008261RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcolonna1005512@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "765 N Hamilton Rd Ste 255",
            "city": "Gahanna",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432308703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah S Cole, CNP
• Amber Hejtmancik Collamore
• Julie Kay Collins, COTA/L
• Stacey D Collins
• Fernando I Colon, MD
• Columbus Cardiovascular Associates, Inc.
• Columbus Chronic Care Medical Center LLC
• Columbus Clinical Services LLC
• Columbus East Internal Medicine
• Columbus Eyelid Plastic Surgery, LLC

• Physician Assistant in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.