Individual provider Active NPI

Mary O'Hara Fogler, DO

  • Family Medicine Physician
  • Columbus, IN
National Provider Identifier
1437646437
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02006514A Issued in IN
Practice address
2118 25TH St Ste J
Columbus, IN 47201-3240
Phone
(812) 372-8426
NPI assigned
Apr 16, 2018
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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 02006514A IN Primary

Addresses

Primary practice location

2118 25TH St Ste J
Columbus, IN 47201-3240

Mailing address

PO Box 775383
Chicago, IL 60677-5383
Phone (812) 376-5315

Other practice location 1

718 N. Lincoln St
Greensburg, IN 47240-1348
Phone (812) 222-3627

Other identifiers 1

IdentifierTypeStateIssuer
300054316MedicaidIN

Other names 1

  • Mary O'Hara Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mfogler56965@edirect.crh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20210902002418 IN Practitioner - Family Practice 7113258401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Campbell Univ School of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2118 25TH St
Suite C
Columbus, IN 47201-3240
Phone (812) 376-9427

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02006514AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Health Physicians, LLC Family Medicine CurrentSince Dec 10, 2024 Accepting new patients
Columbus Regional Health Physicians, LLC Family Medicine CurrentSince Dec 10, 2024 Accepting new patients
St John Urgent Care Clinics Inc Past Accepting new patients
Major Hospital Past Accepting new patients
Columbus Regional Health Physicians, LLC Family Medicine Past Accepting new patients

Locations

2118 25th St
Ste C
Columbus, IN 47201
Phone (812) 372-8426

2118 25th St
Ste J
Columbus, IN 47201
Phone (812) 372-8426

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

Interoperability endpoints

  • Direct secure messaging: mfogler56965@edirect.crh.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1437646437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775383",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775383",
            "telephone_number": "812-376-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 25TH ST STE J",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013240",
            "telephone_number": "812-372-8426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "718 N. Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "IN",
            "postal_code": "472401348",
            "country_code": "US",
            "telephone_number": "812-222-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGLER",
        "first_name": "MARY",
        "middle_name": "O'HARA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02006514A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300054316",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfogler56965@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct address",
            "address_1": "2118 25th St Ste C",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472013240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "O'HARA",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.