Individual provider Active NPI

Gregory Luke Seidensticker, MD

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Columbus, OH
National Provider Identifier
1457384307
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Emergency Medicine) PhysicianTaxonomy code 207PH0002X
License
35.083715 Issued in OH
Practice address
111 S Grant Ave
Columbus, OH 43215-4701
Phone
(614) 461-3232
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35-08-3715-S OH
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X 35.083715 OH Primary

Addresses

Primary practice location

111 S Grant Ave
Columbus, OH 43215-4701

Mailing address

1161 Bethel Rd
Columbus, OH 43220-2773
Phone (614) 459-0350

Other practice location 1

3600 Olentangy River Rd # C2-C3
Columbus, OH 43214-3437
Phone (614) 459-0350

Other practice location 2

1161 Bethel Rd
Columbus, OH 43220-2773
Phone (614) 459-0350

Other identifiers 1

IdentifierTypeStateIssuer
2478653MedicaidOH

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
I20040623000172 OH Practitioner - Emergency MedicinePractitioner - Pain Management 0840275889 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Pain Management
Education
Ohio State University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Symptom Relief LLCGroup PAC ID 6204951767, 7 clinicians
Grady Memorial HospitalGroup PAC ID 1254314586, 6 clinicians

Practice addresses (Care Compare)

1161 Bethel Rd
Unit 203 204
Columbus, OH 43220-2773
Phone (614) 459-0350

801 Ohiohealth Blvd
Suite 180
Delaware, OH 43015
Phone (740) 615-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.54 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
69.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital CurrentSince Jan 8, 2019 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 1, 2018 Accepting new patients
Ohiohealth Corporation Current Accepting new patients
Center for Symptom Relief LLC CurrentSince May 1, 2018 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 1, 2018 Accepting new patients
Corpath LTD Current Accepting new patients

Locations

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

1161 Bethel Rd
Ste 203204
Columbus, OH 43220
Phone (614) 459-0350

3600 Olentangy River Rd
#C2C3
Columbus, OH 43214
Phone (614) 459-0350

L3652
Columbus, OH 43260

Dept L3652
Columbus, OH 43260

1161 Bethel Rd
Unit 203204
Columbus, OH 43220
Phone (614) 450-0350

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

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

801 Ohio Health Blvd
Ste 180
Delaware, OH 43015
Phone (740) 615-0227

561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983

801 Ohio Health Blvd
Ste 270
Delaware, OH 43015
Phone (740) 615-1000

Interoperability endpoints

  • Direct secure messaging: gregory.seidensticker@csr.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCJAA

Organizations & group practices 6

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1457384307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202773",
            "telephone_number": "614-459-0350",
            "fax_number": "614-459-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154701",
            "telephone_number": "614-461-3232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Olentangy River Rd # C2-C3",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432143437",
            "country_code": "US",
            "telephone_number": "614-459-0350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1161 Bethel Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432202773",
            "country_code": "US",
            "telephone_number": "614-459-0350",
            "fax_number": "614-459-0355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIDENSTICKER",
        "first_name": "GREGORY",
        "middle_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-08-3715-S",
            "primary": false
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "35.083715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2478653",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.