Tom George Peponis Jr., D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34004446 Issued in OH

Practice address

2249 W Broad St
Columbus, OH 43223-1047

Phone

(614) 274-2252

NPI assigned

Jan 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2013 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528110368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2249 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432231047",
            "telephone_number": "614-274-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432231047",
            "telephone_number": "614-274-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPONIS",
        "first_name": "TOM",
        "middle_name": "GEORGE",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34004446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0678619",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Peoples
• Victor Peoples
• Teresa Marie Pepera, P.T.
• Alaina Peponis, MD
• Nicholas T Peponis, DO
• Brooke N Pepper, AT, PTA
• Jessica Paige Pepper, RN
• Tom H Pepper, MD
• Melissa Peppercorn, LPN
• Katherine Peppers

• Family Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.