Individual provider Active NPI

Betty Margaret Mitchell, M.D.

  • Emergency Medicine Physician
  • Columbus, OH
National Provider Identifier
1487612800
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35075253 Issued in OH
Practice address
420 N James Rd
Columbus, OH 43219-1834
Phone
(614) 257-2500
Fax
(614) 257-5386
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DR0062975 CO
Emergency Medicine Physician 207P00000X 46726 KY
Internal Medicine Physician 207R00000X DR0062975 CO
Internal Medicine Physician 207R00000X 35075253M OH
Emergency Medicine Physician 207P00000X 35075253 OH Primary

Addresses

Primary practice location

420 N James Rd
Columbus, OH 43219-1834

Mailing address

5195 Hampsted Village Center Way
Suite 256
New Albany, OH 43054-8331
Phone (866) 748-5432

Other identifiers 1

IdentifierTypeStateIssuer
2151513MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, AZ, ID4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20051108000885 OH Practitioner - Emergency MedicinePractitioner - Internal Medicine 8628096617 Reassigns benefits to 1 organization
I20140331000605 KY Practitioner - Emergency MedicinePractitioner - Preventive Medicine 8628096617
I20240314003751 AZ Practitioner - Internal Medicine 8628096617 Reassigns benefits to 3 organizations
I20260304003761 ID Practitioner - Internal MedicinePractitioner - Emergency Medicine 8628096617 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Human Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winslow Memorial Hospital IncGroup PAC ID 8628988409, 44 clinicians

Practice addresses (Care Compare)

1501 N Williamson Ave
Winslow, AZ 86047-2735
Phone (928) 289-4691

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35075253OHMDEmergency Medicine Physician
DR0062975COMDInternal Medicine Physician
35075253MOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Emergency Care Services, Inc Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital Inc CurrentSince Dec 30, 2023 Accepting new patients
Lost Rivers Medical Center CurrentSince Jul 8, 2021 Accepting new patients
Winslow Memorial Hospital Inc CurrentSince Aug 1, 2025 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital, Inc. CurrentSince Dec 30, 2023 Accepting new patients
Lost Rivers Medical Center Family Medicine CurrentSince Jan 5, 2026 Accepting new patients
Winslow Memorial Hospital Inc CurrentSince Aug 1, 2025 Accepting new patients
Marion General Hospital Foundation, Inc. Emergency Medicine Past Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine Past Accepting new patients
Circleville Emergency Physicians Inc. Emergency Medicine Past Accepting new patients
Marion Physician Billing LLC Emergency Medicine Past Accepting new patients

Locations

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400

651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015

Interoperability endpoints

  • Direct secure messaging: betty.mitchell.1@11894.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1487612800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5195 HAMPSTED VILLAGE CENTER WAY",
            "address_2": "SUITE 256",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548331",
            "telephone_number": "866-748-5432",
            "fax_number": "614-283-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N JAMES RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191834",
            "telephone_number": "614-257-2500",
            "fax_number": "614-257-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BETTY",
        "middle_name": "MARGARET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR0062975",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "46726",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR0062975",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35075253M",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35075253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2151513",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.