Individual provider Active NPI

Natalie Grace Spaccarelli, MD

  • Dermatology Physician
  • Columbus, OH
National Provider Identifier
1538503255
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35135233 Issued in OH
Practice address
1328 Dublin Rd Ste 100
Columbus, OH 43215-1054
Phone
(614) 293-1707
Fax
(614) 293-1716
NPI assigned
Apr 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35135233 OH Primary
Pediatric Dermatology Physician 207NP0225X 35135233 OH

Addresses

Primary practice location

1328 Dublin Rd Ste 100
Columbus, OH 43215-1054

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-1707

Other practice location 1

5665 Venture Dr
Dublin, OH 43017-2159
Phone (614) 722-6200

Other practice location 2

555 S 18th St
Columbus, OH 43205-2654
Phone (614) 722-2000

Other practice location 3

7901 Diley Rd
Canal Winchester, OH 43110-9612
Phone (614) 722-6200

Other practice location 4

455 Executive Campus Dr
Westerville, OH 43082-8870
Phone (614) 722-6200

Other identifiers 3

IdentifierTypeStateIssuer
H675871-NCHOtherOHCGS-MEDICARE
0328285MedicaidOH
H675870-OSUOtherOHCGS-MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nspaccarelli667030@direct.osumc.edu

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
I20190124003313 OH Practitioner - Dermatology 4082951322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osu Internal Medicine LLCGroup PAC ID 5496651408, 1,141 clinicians

Practice addresses (Care Compare)

2050 Kenny Rd
Columbus, OH 43221-3502
Phone (614) 293-3890

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions160
Removal or shaving of skin growth20
Skin biopsy83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Osu Internal Medicine, LLC Dermatology CurrentSince Dec 1, 2018 Accepting new patients
Pediatric Academic Association, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

7901 Diley Rd
Canal Winchester, OH 43110
Phone (614) 355-9050

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

1328 Dublin Rd
Ste 100
Columbus, OH 43215

700 Ackerman Rd
Ste 570
Columbus, OH 43202
Phone (614) 293-2046

Dept L289
Columbus, OH 43260

2050 Kenny Rd
Columbus, OH 43221
Phone (614) 293-8054

555 S 18th St
Columbus, OH 43205
Phone (614) 722-4554

1328 Dublin Rd
Columbus, OH 43215

2050 Kenny Rd
Fl 4
Columbus, OH 43221
Phone (614) 293-5066

3900 Stoneridge Ln
Dublin, OH 43017
Phone (614) 366-5001

455 Executive Campus Dr
Westerville, OH 43082
Phone (614) 355-6100

Interoperability endpoints

  • Direct secure messaging: nspaccarelli667030@direct.osumc.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1538503255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-1707",
            "fax_number": "614-293-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 DUBLIN RD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151054",
            "telephone_number": "614-293-1707",
            "fax_number": "614-293-1716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5665 Venture Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430172159",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 S 18th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052654",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 Diley Rd",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431109612",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Executive Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828870",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPACCARELLI",
        "first_name": "NATALIE",
        "middle_name": "GRACE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35135233",
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "OH",
            "license": "35135233",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CGS-MEDICARE",
            "identifier": "H675871-NCH",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0328285",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CGS-MEDICARE",
            "identifier": "H675870-OSU",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nspaccarelli667030@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "1328 Dublin Rd Ste 100",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432151054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.