Active NPI
Jeremy Wachenschwanz, D.O.
- Diagnostic Radiology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 34.011121
- Practice address
- 3535 Olentangy River Rd
Columbus, OH 43214-3998 - Phone
- (614) 566-5000
- NPI assigned
- May 31, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | AP2282058A13 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | 34.011121 | OH | Primary |
Addresses
Primary practice location
3535 Olentangy River Rd
Columbus, OH 43214-3998
Mailing address
3600 Forbes Avenue
Forbes Tower - Plaza Level Suite 140
Pittsburgh, PA 15213
Phone (330) 363-6267
Other practice location 1
200 Lothrop Street
Pittsburgh, PA 15213
Phone (412) 647-1137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0116167 | Medicaid | OH |
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Ohio University, College of Osteopathic Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5000
Hospital & facility affiliations
- Riverside Methodist Hospital
- Ohiohealth Mansfield Hospital
- Wilson Memorial Hospital
- Marietta Memorial Hospital
- Wyandot Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.5 of 100
- Quality
- 71.52
- Promoting interoperability
- 95.57
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.04 of 100
- Quality
- 58.67
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP2282058A13 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Internal Medicine | Current | Accepting new patients |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Carelife Imaging, LLC | Current | Accepting new patients | |
| Marion Area Physicians LLC | Internal Medicine | Current | Accepting new patients |
| Riverside Radiology and Interventional Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
Locations
3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
Dept L3652
Columbus, OH 43260
335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320
1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400
1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874
Interoperability endpoints
- jwachenschwanz648423@direct.bsmhealth.org
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1093718496
-
- Internal Medicine Physician
- Marion, OH
- NPI 1619230802
-
- Radiology Clinic/Center
- Zanesville, OH
- NPI 1801334800
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marietta, OH
- NPI 1215936927
-
- General Acute Care Hospital
- Mansfield, OH
- NPI 1790837235
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
-
- General Acute Care Hospital
- Sidney, OH
- NPI 1639174204
-
- Critical Access Hospital
- Upper Sandusky, OH
- NPI 1477554475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1538420120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 FORBES AVENUE",
"address_2": "FORBES TOWER - PLAZA LEVEL SUITE 140",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15213",
"telephone_number": "330-363-6267",
"fax_number": "330-363-2485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 OLENTANGY RIVER RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143998",
"telephone_number": "614-566-5000"
}
],
"practiceLocations": [
{
"address_1": "200 Lothrop Street",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "15213",
"country_code": "US",
"telephone_number": "412-647-1137",
"fax_number": "330-363-2485",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WACHENSCHWANZ",
"first_name": "JEREMY",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-31",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "AP2282058A13",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "34.011121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0116167",
"state": "OH"
}
],
"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 Sep 12, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.