Collin Joseph Abbott, MD

Key facts

NPI

1477945889

Entity type

Individual (NPI type 1)

Primary specialty

Pediatrics Physician 208000000X

License

35.141508 (OH)

Practice address

5072 Reed Rd
Columbus, OH 43220-7536

Phone

(614) 326-1600

NPI assigned

Feb 21, 2015

Sex

Male

Sole proprietor

No

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.

• Pediatric Academic Association, Inc. Pediatrics Physician · Columbus, OH · NPI 1063419943
  Medicare reassignment NPD OH · PEDIATRICS
• Ohio Pediatric Alliance, LLC Pediatrics Physician · Hilliard, OH · NPI 1780566885
  NPD (past) PEDIATRICS
• Pediatric & Adolescent Medicine Pediatrics Physician · Columbus, OH · NPI 1598887713
  NPD (past) PEDIATRICS

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 19, 2023.

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1477945889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5072 REED RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432207536",
            "telephone_number": "614-326-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5072 REED RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432207536",
            "telephone_number": "614-326-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "COLLIN",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-21",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.141508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0435097",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CGS MEDICARE",
            "identifier": "H787990",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

• Safaa Jalal Abbas
• Abbington Arlington Partners Limited Partnership
• Jacqueline Abbington
• Ashley Anne Abbott, LPC
• Brian Abbott, MD
• Evan Joseph Abbott
• Kellie Abbott, OTR
• Lamichelle Simone Abbott
• Mary F Abbott
• Anthony Michael Abbruzzese, DC

All providers in Columbus, OH · Pediatrics Physician in Ohio