Active NPI
Andrew Scheidemantel, DO
- Internal Medicine Physician
- Columbus, OH
National Provider Identifier
1508494576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34.016294
- Practice address
- 50 Old Village Rd
Columbus, OH 43228-1583 - Phone
- (614) 544-1976
- Fax
- (614) 544-1981
- NPI assigned
- Mar 27, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 34.016294 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 34.016294 | OH | Primary |
Addresses
Primary practice location
50 Old Village Rd
Columbus, OH 43228-1583
Mailing address
1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1306
Other practice location 1
540 Lincoln Park Blvd Ste 200
Dayton, OH 45429-6403
Phone (937) 298-8058
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200622001366 | OH | Order and Referring Only - Internal Medicine | 7618399650 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1508494576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PRESTIGE PL STE 550",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453426115",
"telephone_number": "937-762-1306",
"fax_number": "937-522-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 OLD VILLAGE RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432281583",
"telephone_number": "614-544-1976",
"fax_number": "614-544-1981"
}
],
"practiceLocations": [
{
"address_1": "540 Lincoln Park Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454296403",
"country_code": "US",
"telephone_number": "937-298-8058",
"fax_number": "937-298-5638",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHEIDEMANTEL",
"first_name": "ANDREW",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-27",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "34.016294",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34.016294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.