Active NPI
Gerald C Smidebush, MD
- Diagnostic Radiology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35064631
- Practice address
- 6001 E Broad St
Columbus, OH 43213-1502 - Phone
- (614) 234-6770
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35064631 | OH | Primary |
Addresses
Primary practice location
6001 E Broad St
Columbus, OH 43213-1502
Mailing address
5475 Rings Rd Ste 300
Dublin, OH 43017-7537
Phone (614) 210-1885
Other practice location 1
5475 Rings Rd Ste 300
Dublin, OH 43017-7537
Phone (614) 210-1885 ext. 1133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0925806 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Cincinnati College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
793 W State St
Columbus, OH 43222-1551
Phone (614) 234-5100
Hospital & facility affiliations
- Mount Carmel East & West
- Mount Carmel St Ann'S
- Madison Health
- Mount Carmel Dublin
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.62 of 100
- Quality
- 75.91
- Improvement activities
- 40
- Cost
- 82.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35064631 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Inc | Diagnostic Radiology | Current | Accepting new patients |
| Fairfield Diagnostic Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Fairfield Imaging Associates, Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
793 W State St
Columbus, OH 43222
Phone (614) 234-1862
6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420
Dept L647
Columbus, OH 43260
5475 Rings Rd
Ste 300
Dublin, OH 43017
Phone (614) 451-2151
10330 Sawmill Pkwy
Ste 500
Powell, OH 43065
Phone (614) 234-0522
Interoperability endpoints
- gsmidebushmd1158221@direct.trinity-health.org
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Dublin, OH
- NPI 1609865708
-
- Diagnostic Radiology Physician
- Lancaster, OH
- NPI 1063472884
-
- Diagnostic Radiology Physician
- Lancaster, OH
- NPI 1265763593
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- London, OH
- NPI 1982710703
-
- General Acute Care Hospital
- Westerville, OH
- NPI 1417037045
-
- General Acute Care Hospital
- Grove City, OH
- NPI 1710067376
-
- General Acute Care Hospital
- Dublin, OH
- NPI 1710752183
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1982784534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1437121985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5475 RINGS RD STE 300",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430177537",
"telephone_number": "614-210-1885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 E BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432131502",
"telephone_number": "614-234-6770"
}
],
"practiceLocations": [
{
"address_1": "5475 Rings Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "430177537",
"country_code": "US",
"telephone_number": "614-210-1885 x1133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMIDEBUSH",
"first_name": "GERALD",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35064631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0925806",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- 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.