Individual provider Active NPI

Sameer M Ankolkar, MD

  • Family Medicine Physician
  • Westerville, OH
National Provider Identifier
1417924119
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35086029 Issued in OH
Practice address
237 W Schrock Rd Ste B
Westerville, OH 43081-2874
Phone
(614) 627-1410
Fax
(614) 890-3614
NPI assigned
Mar 2, 2006
Last updated
Mar 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35086029 OH Primary

Addresses

Primary practice location

237 W Schrock Rd Ste B
Westerville, OH 43081-2874

Mailing address

237 W Schrock Rd Ste B
Westerville, OH 43081-2874
Phone (614) 627-1410

Other identifiers 1

IdentifierTypeStateIssuer
2604640MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sameer.ankolkar@mchs.com 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
I20211202000702 OH Practitioner - Family Practice 9638194350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

237 W Schrock Rd
Suite B
Westerville, OH 43081-2874
Phone (614) 627-1410

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35086029OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Inc Family Medicine CurrentSince Jan 2, 2022 Accepting new patients
Mount Carmel Health Providers Inc Family Medicine CurrentSince Jan 2, 2022 Accepting new patients

Locations

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

237 W Schrock Rd
#B
Westerville, OH 43081
Phone (614) 627-1410

Interoperability endpoints

  • Direct secure messaging: sameer.ankolkar@mchs.com
  • Direct secure messaging: sankolkar1553877@direct.trinity-health.org

Organizations & group practices 2

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 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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1417924119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 W SCHROCK RD STE B",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812874",
            "telephone_number": "614-627-1410",
            "fax_number": "614-890-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 W SCHROCK RD STE B",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812874",
            "telephone_number": "614-627-1410",
            "fax_number": "614-890-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKOLKAR",
        "first_name": "SAMEER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35086029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2604640",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sameer.ankolkar@mchs.com",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Health Columbus Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "237 W Schrock Rd Ste B",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430812874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.