Individual provider Active NPI

John W Wulf, M.D.

  • Internal Medicine Physician
  • Westerville, OH
National Provider Identifier
1497732606
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-05-3867 Issued in OH
Practice address
655 Africa Rd
Westerville, OH 43082-9808
Phone
(614) 326-5276
Fax
(614) 865-2179
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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 35-05-3867 OH Primary

Addresses

Primary practice location

655 Africa Rd
Westerville, OH 43082-9808

Mailing address

655 Africa Rd
Westerville, OH 43082-9808
Phone (614) 326-5276

Other practice location 1

655 Africa Rd
Westerville, OH 43082-9808
Phone (614) 326-2672

Other identifiers 1

IdentifierTypeStateIssuer
0711028MedicaidOH

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
I20080117000012 OH Practitioner - Internal Medicine 3577644475 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 Primary Care Physicians, Inc. Internal Medicine CurrentSince Jan 1, 1997 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Jan 1, 1997 Accepting new patients
National Church Residences Medical Home Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

810 Jasonway Ave
Ste B
Columbus, OH 43214
Phone (614) 326-5665

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

291 W Schrock Rd
Ste B
Westerville, OH 43081
Phone (614) 776-5750

655 Africa Rd
Westerville, OH 43082

570 Polaris Pkwy
Ste 250
Westerville, OH 43082
Phone (614) 459-0216

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4416/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1497732606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 AFRICA RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829808",
            "telephone_number": "614-326-5276",
            "fax_number": "614-865-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 AFRICA RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829808",
            "telephone_number": "614-326-5276",
            "fax_number": "614-865-2179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Africa Rd",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430829808",
            "country_code": "US",
            "telephone_number": "614-326-2672",
            "fax_number": "614-326-2687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WULF",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-05-3867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0711028",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.