NPIMap

Individual provider Active NPI

Nina P Hourmouzis, MD

  • Internal Medicine Physician
  • Reynoldsburg, OH
National Provider Identifier
1588007017
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.128423 Issued in OH
Practice address
8050 E Main St Ste 2200
Reynoldsburg, OH 43068-2652
Phone
(614) 864-6010
Fax
(614) 864-0306
NPI assigned
Apr 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.128423 OH Primary

Addresses

Primary practice location

8050 E Main St Ste 2200
Reynoldsburg, OH 43068-2652

Mailing address

8050 E Main St Ste 2200
Reynoldsburg, OH 43068-2652
Phone (614) 864-6010

Other identifiers 1

IdentifierTypeStateIssuer
0181462MedicaidOH

Other names 1

  • Nina Pola Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161004002423 OH Practitioner - Internal Medicine 6800029935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1045 Beecher Crossing N
Suite C
Gahanna, OH 43230-4573

1075 Beecher Crossing N
Suite a
Gahanna, OH 43230-4572
Phone (614) 475-6179

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.128423OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. Internal Medicine CurrentSince Jan 30, 2023 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Jan 30, 2023 Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

1075 Beecher Xing N
Ste A
Gahanna, OH 43230
Phone (614) 366-6886

8050 E Main St
Ste 2200
Reynoldsburg, OH 43068
Phone (614) 367-0585

Interoperability endpoints

  • Direct secure messaging: nhourmouzis19020@copcp.medicity.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1588007017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 E MAIN ST STE 2200",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682652",
            "telephone_number": "614-864-6010",
            "fax_number": "614-864-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 E MAIN ST STE 2200",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682652",
            "telephone_number": "614-864-6010",
            "fax_number": "614-864-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOURMOUZIS",
        "first_name": "NINA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.128423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181462",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "POLA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.