Individual provider Active NPI

Clint Handa, DO

  • Family Medicine Physician
  • Lewis Center, OH
National Provider Identifier
1538749239
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.017412 Issued in OH
Practice address
7100 Graphics Way Ste 2400
Lewis Center, OH 43035-0208
Phone
(740) 953-4100
Fax
(740) 953-4173
NPI assigned
Apr 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.017412 OH Primary

Addresses

Primary practice location

7100 Graphics Way Ste 2400
Lewis Center, OH 43035-0208

Mailing address

7100 Graphics Way Ste 2400
Lewis Center, OH 43035-0208

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
I20241008000324 OH Practitioner - Family Practice 1557719366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

7100 Graphics Way
Suite 2400
Lewis Center, OH 43035-0208
Phone (740) 953-4100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health Providers Inc Family Medicine CurrentSince Sep 16, 2024 Accepting new patients
Mount Carmel Healthproviders Inc Family Medicine CurrentSince Sep 16, 2024 Accepting new patients

Locations

7100 Graphics Way
Ste 2400
Lewis Center, OH 43035
Phone (740) 953-4100

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

Interoperability endpoints

  • Direct secure messaging: chanda1158874@direct.trinity-health.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1538749239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 GRAPHICS WAY STE 2400",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430350208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 GRAPHICS WAY STE 2400",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430350208",
            "telephone_number": "740-953-4100",
            "fax_number": "740-953-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDA",
        "first_name": "CLINT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-08",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.017412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

Verify at the official NPI Registry.