Individual provider Active NPI

Blase G. Hennessy, M.D.

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1386936755
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35122032 Issued in OH
Practice address
3525 Olentangy River Rd
Suite 4330
Columbus, OH 43214-3937
Phone
(614) 255-6900
Fax
(614) 255-6901
NPI assigned
May 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 35122032 OH Primary

Addresses

Primary practice location

3525 Olentangy River Rd
Suite 4330
Columbus, OH 43214-3937

Mailing address

3525 Olentangy River Rd
Suite 4330
Columbus, OH 43214-3937
Phone (614) 255-6900

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
I20140724002585 OH Practitioner - Internal Medicine 5395986624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Toledo Medical College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Primary Care Physicians, Inc.Group PAC ID 2769383785, 487 clinicians

Practice addresses (Care Compare)

4885 Olentangy River Rd
Columbus, OH 43214-1952
Phone (614) 326-5665

Hospital & facility affiliations

  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012
  • Mount Carmel Dublin Hospital, Dublin, OH, CCN 360375
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
85.5
Improvement activities
40
Cost
83.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35122032OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Hospitalists, Inc CurrentSince Jul 1, 2015 Accepting new patients
Mount Carmel Health System Past Accepting new patients
Mount Carmel Health System Past Accepting new patients

Locations

6800 Gender Rd
Canal Winchester, OH 43110
Phone (614) 345-9500

391 Clark Dr
Circleville, OH 43113
Phone (740) 474-6036

2770 Clime Rd
Columbus, OH 43223
Phone (614) 276-8222

1430 S High St
Columbus, OH 43207
Phone (614) 255-6930

1151 College Ave
Columbus, OH 43209
Phone (614) 231-2200

3525 Olentangy River Rd
Ste 4330
Columbus, OH 43214
Phone (614) 255-6930

920 Thurber Dr W
Columbus, OH 43215
Phone (614) 464-2273

441 Norton Rd
Columbus, OH 43228
Phone (614) 794-8800

5700 Karl Rd
Columbus, OH 43229
Phone (614) 846-5420

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

4075 W Granville Rd
Dublin, OH 43017
Phone (614) 201-0541

5151 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 337-1066

167 N Stygler Rd
Gahanna, OH 43230
Phone (614) 475-8778

755 S Plum St
Marysville, OH 43040
Phone (937) 644-8836

1600 Saint Paris Pike
Springfield, OH 45504
Phone (937) 399-8131

375 W Main St
West Jefferson, OH 43162
Phone (614) 879-7604

655 Africa Rd
Westerville, OH 43082

4805 Langley Ave
Whitehall, OH 43213
Phone (614) 344-6825

1020 Taylor St
Zanesville, OH 43701
Phone (740) 454-9747

Interoperability endpoints

  • Direct secure messaging: bhennessy18913@copcp.medicity.net

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.

Hospital & facility affiliations 4

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": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1386936755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD",
            "address_2": "SUITE 4330",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-255-6900",
            "fax_number": "614-255-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD",
            "address_2": "SUITE 4330",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-255-6900",
            "fax_number": "614-255-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "BLASE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35122032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.