Individual provider Active NPI

Edan Gilat, M.D.

  • Psychiatry Physician
  • Worthington, OH
National Provider Identifier
1497046841
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.126382 Issued in OH
Practice address
1035 Proprietors Rd
Worthington, OH 43085-3230
Phone
(614) 785-1115
Fax
(614) 785-0095
NPI assigned
Apr 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.126382 OH Primary

Addresses

Primary practice location

1035 Proprietors Rd
Worthington, OH 43085-3230

Mailing address

1035 Proprietors Rd
Worthington, OH 43085-3230
Phone (614) 785-1115

Other identifiers 1

IdentifierTypeStateIssuer
0132082MedicaidOH

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
I20150708000444 OH Practitioner - Psychiatry 7810123700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Ohio Counseling Inc.Group PAC ID 1052203445, 14 clinicians

Practice addresses (Care Compare)

1035 Proprietors Rd
Worthington, OH 43085-3230
Phone (614) 785-1115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.126382OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jul 15, 2015 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 15, 2015 Accepting new patients
Central Ohio Counseling Inc. CurrentSince Feb 15, 2016 Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

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

5350 Frantz Rd
Dublin, OH 43016

1035 Proprietors Rd
Worthington, OH 43085
Phone (614) 785-1115

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.

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1497046841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PROPRIETORS RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853230",
            "telephone_number": "614-785-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PROPRIETORS RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853230",
            "telephone_number": "614-785-1115",
            "fax_number": "614-785-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILAT",
        "first_name": "EDAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-20",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.126382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0132082",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.