Individual provider Active NPI

Unknown Safa Fatima

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1467092379
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.147396 Issued in OH
Practice address
3525 Olentangy River Rd Ste 4330
Columbus, OH 43214-3937
Phone
(614) 255-6900
Fax
(614) 255-6901
NPI assigned
Jan 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.147396 OH Primary

Addresses

Primary practice location

3525 Olentangy River Rd Ste 4330
Columbus, OH 43214-3937

Mailing address

3525 Olentangy River Rd Ste 4330
Columbus, OH 43214-3937
Phone (614) 255-6900

Other practice location 1

Mercyhealth Mulford Clinic
5970 Churchview drive
Rockford, IL 61107
Phone (815) 971-8990 ext. 001

Other names 1

  • Safa Fatima Other name

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
I20230823002929 OH Practitioner - Internal Medicine 0941663041 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Hospitalists, Inc CurrentSince Jul 26, 2023 Accepting new patients
Ohiohealth Corporation Past Accepting new patients

Locations

3525 Olentangy River Rd
Ste 4330
Columbus, OH 43214
Phone (614) 255-6930

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

3525 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1467092379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD STE 4330",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-255-6900",
            "fax_number": "614-255-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD STE 4330",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-255-6900",
            "fax_number": "614-255-6901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Mercyhealth Mulford Clinic",
            "address_2": "5970 Churchview drive",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "61107",
            "country_code": "US",
            "telephone_number": "815-971-8990 x001",
            "fax_number": "815-971-9978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAFA FATIMA",
        "first_name": "UNKNOWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.147396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAFA",
            "last_name": "FATIMA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.