Individual provider Active NPI

Marty M. Meyer, MD

  • Gastroenterology Physician
  • Dublin, OH
National Provider Identifier
1396787362
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35087041 Issued in OH
Practice address
6670 Perimeter Dr Ste 200
Dublin, OH 43016
Phone
(614) 754-5500
Fax
(614) 754-5501
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35087041 OH
Gastroenterology Physician 207RG0100X 35087041 OH Primary

Addresses

Primary practice location

6670 Perimeter Dr Ste 200
Dublin, OH 43016

Mailing address

3400 Olentangy River Rd
Columbus, OH 43202-1523
Phone (614) 754-5500

Other practice location 1

3595 Olentangy River Rd
Columbus, OH 43214-3440
Phone (614) 566-5456

Other identifiers 2

IdentifierTypeStateIssuer
2640619MedicaidOH
11902607OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ohio.gastro@directaddress.net Direct

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
I20060427000140 OH Practitioner - GastroenterologyPractitioner - Internal Medicine 7810907441 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Ohio State University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians
Union County Physician CorporationGroup PAC ID 1557419173, 105 clinicians
Ohio Gastroenterology Group, Inc.Group PAC ID 0143211284, 118 clinicians

Practice addresses (Care Compare)

3595 Olentangy River Rd
Columbus, OH 43214-3440
Phone (614) 566-5377

500 London Ave
Marysville, OH 43040-5512
Phone (937) 578-2275

6670 Perimeter Dr
Suite 200
Dublin, OH 43016-8056
Phone (614) 754-5500

Hospital & facility affiliations

  • Memorial Hospital Hospital, Marysville, OH, CCN 360092
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy86
Upper gastrointestinal (GI) endoscopy for acid reflux100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35087041OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Internal Medicine Current Accepting new patients
Ohiohealth Corporation CurrentSince May 1, 2020 Accepting new patients
Union County Physician Corporation CurrentSince Oct 4, 2021 Accepting new patients
Union County Physician Corporation CurrentSince Oct 4, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince May 1, 2020 Accepting new patients
Ohio Gastroenterology Group, Inc. Gastroenterology CurrentSince Jun 1, 2018 Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

3595 Olentangy River Rd
Columbus, OH 43214
Phone (614) 556-5456

931 Chatham Ln
Columbus, OH 43221
Phone (614) 451-3643

3400 Olentangy River Rd
Columbus, OH 43202
Phone (614) 754-5545

L3977
Columbus, OH 43260

85 McNaughten Rd
Ste 320
Columbus, OH 43213
Phone 61475455005545

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

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

6670 Perimeter Dr
Ste 200
Dublin, OH 43016

722 Buckles Ct N
Ste 100
Gahanna, OH 43230
Phone (614) 754-5455

3000 Meadow Pond Ct
Ste 500
Grove City, OH 43123
Phone (614) 505-7511

388 Damascus Rd
Marysville, OH 43040
Phone (937) 578-2626

500 London Ave
Marysville, OH 43040
Phone (740) 420-8451

1025 Refugee Rd
Ste 100A
Pickerington, OH 43147

430 Altair Pkwy
Ste 110
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: mmeyer10217@direct.osumc.edu

Organizations & group practices 6

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 6

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1396787362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021523",
            "telephone_number": "614-754-5500",
            "fax_number": "614-457-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6670 PERIMETER DR STE 200",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "43016",
            "telephone_number": "614-754-5500",
            "fax_number": "614-754-5501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3595 Olentangy River Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432143440",
            "country_code": "US",
            "telephone_number": "614-566-5456",
            "fax_number": "614-566-6902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MARTY",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35087041",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35087041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2640619",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11902607",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ohio.gastro@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6670 Perimeter Dr Ste 200",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.