Individual provider Active NPI

Robert J Skully, MD

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1447362967
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35046672 Issued in OH
Practice address
393 E Town St Ste 116
Columbus, OH 43215-4799
Phone
(614) 566-9108
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 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 35046672 OH Primary

Addresses

Primary practice location

393 E Town St Ste 116
Columbus, OH 43215-4799

Mailing address

1299 Olentangy River Rd Ste 103
Columbus, OH 43212-3118
Phone (614) 566-4278

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rskully14639@direct.ohiohealth.com OhioHealth Physician Group

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
I20090127000123 OH Practitioner - Family PracticePractitioner - Geriatric Medicine 5193889798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Ohio State University College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

290 E Town St
Columbus, OH 43215-4602
Phone (614) 788-5400

Hospital & facility affiliations

  • Grant Medical Center Hospital, Columbus, OH, CCN 360017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35046672OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jan 1, 2008 Accepting new patients
Ohiohealth Corporation CurrentSince Jan 1, 2008 Accepting new patients
Ohiohealth Corporation Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Ohiohealth Corporation Past Accepting new patients
Orthopedic Trauma Services LTD Past Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

1299 Olentangy River Rd
Ste 103
Columbus, OH 43212
Phone (614) 566-4278

290 E Town St
Columbus, OH 43215
Phone (614) 788-5400

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

5350 Frantz Rd
Dublin, OH 43016

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

4850 E Main St
Whitehall, OH 43213
Phone (614) 523-2266

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 and National Provider Directory roles.

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1447362967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 OLENTANGY RIVER RD STE 103",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123118",
            "telephone_number": "614-566-4278",
            "fax_number": "614-566-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 E TOWN ST STE 116",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154799",
            "telephone_number": "614-566-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKULLY",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35046672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rskully14639@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "290 E Town St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432154602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.