NPIMap

Organization Active NPI

Columbus Nephrology, Inc.

  • Nephrology Physician
  • Grove City, OH
National Provider Identifier
1396835757
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
COLUMBUS NEPHROLOGY, INC.
Practice address
5775 N Meadows Dr Ste D
Grove City, OH 43123-7300
Phone
(614) 224-4200
Fax
(614) 224-4207
NPI assigned
Oct 13, 2006
Last updated
May 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Anita Hensley
Title
Practice Administrator
Phone
(614) 224-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

5775 N Meadows Dr Ste D
Grove City, OH 43123-7300

Mailing address

5775 N Meadows Dr
Suite D
Grove City, OH 43123
Phone (614) 224-4200

Other practice location 1

85 McNaughten Rd Ste 310
Columbus, OH 43213-5111
Phone (614) 224-4200

Other identifiers 1

IdentifierTypeStateIssuer
2294977MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413001422 OH Part B Supplier - Clinic/Group Practice 5092709915 Receives reassigned benefits from 12 practitioners
Practice locations: Columbus, OH; Grove City, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1008611Columbus Nephrology, Inc5775 North Meadows Drive, Grove City, OH 43123Provider-performed microscopyJan 23, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

745 W State St
Ste 520
Columbus, OH 43222
Phone (614) 224-4200

85 McNaughten Rd
Ste 100
Columbus, OH 43213
Phone (614) 224-4200

5775 N Meadows Dr
Ste D
Grove City, OH 43123
Phone (614) 224-4200

1310 Hill Rd N
Ste 100
Pickerington, OH 43147
Phone 6142244200227

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1396835757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 N MEADOWS DR",
            "address_2": "SUITE D",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "43123",
            "telephone_number": "614-224-4200",
            "fax_number": "614-224-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 N MEADOWS DR STE D",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431237300",
            "telephone_number": "614-224-4200",
            "fax_number": "614-224-4207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 McNaughten Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432135111",
            "country_code": "US",
            "telephone_number": "614-224-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLUMBUS NEPHROLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "614-224-4200"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2294977",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.