Individual provider Active NPI

Gifty Adutwum, PA-C

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1497158471
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004086 Issued in OH
Practice address
1120 Polaris Pkwy
Columbus, OH 43240-4042
Phone
(614) 847-1120
NPI assigned
Oct 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 004086 OH
Surgical Physician Assistant 363AS0400X 004086 OH
Physician Assistant 363A00000X 004086 OH Primary

Addresses

Primary practice location

1120 Polaris Pkwy
Columbus, OH 43240-4042

Mailing address

5400 Frantz Rd Ste 250
Dublin, OH 43016-6102
Phone (419) 520-2495

Other identifiers 1

IdentifierTypeStateIssuer
0112235MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gadutwum317075@direct.ohiohealth.com OhioHealth Physician Group

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141118002608 OH Practitioner - Physician Assistant 2163644576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth Urgent Care LLCGroup PAC ID 3476733700, 129 clinicians

Practice addresses (Care Compare)

1120 Polaris Pkwy
Suite 100
Columbus, OH 43240-4042
Phone (614) 847-1120

130 University Dr
Suite 1300
Marion, OH 43302-1104
Phone (740) 692-4440

1710 Columbus Pike
Delaware, OH 43015-2726
Phone (740) 549-2700

2030 Stringtown Rd
Grove City, OH 43123-3993
Phone (614) 883-0160

4343 All Seasons Dr
Suite 160
Hilliard, OH 43026-1962
Phone (614) 541-2676

6905 Hospital Dr
Suite 130
Dublin, OH 43016-9600
Phone (614) 923-0300

895 W 3Rd Ave
Columbus, OH 43212-3106
Phone (614) 437-0278

Merit-based Incentive Payment System (MIPS)

Final score
86.16 of 100Reported as group
Quality
79.15
Promoting interoperability
100
Improvement activities
40
Cost
74.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004086OHMDPhysician Assistant

Organizations & group practices 1

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": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1497158471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 FRANTZ RD STE 250",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430166102",
            "telephone_number": "419-520-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 POLARIS PKWY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432404042",
            "telephone_number": "614-847-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADUTWUM",
        "first_name": "GIFTY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "004086",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "004086",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "004086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112235",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gadutwum317075@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "1120 Polaris Pkwy",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432404042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.