Individual provider Active NPI

Marisa Dreisbach Maffett, MD

  • Obstetrics & Gynecology Physician
  • Dublin, OH
National Provider Identifier
1619153103
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.089111 Issued in OH
Practice address
7450 Hospital Dr
Suite 200
Dublin, OH 43016-9642
Phone
(614) 659-9519
Fax
(614) 885-7146
NPI assigned
Jan 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35.089111 OH Primary

Addresses

Primary practice location

7450 Hospital Dr
Suite 200
Dublin, OH 43016-9642

Mailing address

7450 Hospital Dr
Suite 200
Dublin, OH 43016-9642
Phone (614) 659-9519

Other identifiers 1

IdentifierTypeStateIssuer
2871263MedicaidOH

Other names 1

  • Marisa Allison Dreisbach Former name

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
I20080923000003 OH Practitioner - Obstetrics/Gynecology 2860569555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio State University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maternohio Clinical Associates LLCGroup PAC ID 4587695192, 56 clinicians

Practice addresses (Care Compare)

1315 W Lane Ave
Suite D
Columbus, OH 43221-3544
Phone (614) 457-4827

300 Polaris Pkwy
Suite 2600
Westerville, OH 43082-7995
Phone (614) 659-9519

460 Polaris Pkwy
Suite 210
Westerville, OH 43082-8213
Phone (614) 459-1000

5150 Bradenton Ave
Suite a
Dublin, OH 43017-7589
Phone (614) 459-1000

7450 Hospital Dr
Suite 200
Dublin, OH 43016-2208
Phone (614) 659-9519

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Obstetrics & Gynecology CurrentSince Jul 4, 2018 Accepting new patients
Maternohio Clinical Associates LLC CurrentSince Oct 1, 2008 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 4, 2018 Accepting new patients
Ohiohealth Corporation Past Accepting new patients
Ohiohealth Corporation Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

1315 W Lane Ave
Ste D
Columbus, OH 43221
Phone (614) 457-4827

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

7450 Hospital Dr
Ste 200
Dublin, OH 43016
Phone (614) 659-9519

460 Polaris Pkwy
Ste 210
Westerville, OH 43082
Phone (614) 459-1000

300 Polaris Pkwy
Ste 2600
Westerville, OH 43082
Phone (614) 659-9519

Interoperability endpoints

  • Direct secure messaging: marisa.maffett.1@32503.direct.athenahealth.com
  • Direct secure messaging: marisa.maffett@sioag-oh.direct.office.nextgen.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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 3

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": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1619153103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 HOSPITAL DR",
            "address_2": "SUITE 200",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169642",
            "telephone_number": "614-659-9519",
            "fax_number": "614-659-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 HOSPITAL DR",
            "address_2": "SUITE 200",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169642",
            "telephone_number": "614-659-9519",
            "fax_number": "614-885-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAFFETT",
        "first_name": "MARISA",
        "middle_name": "DREISBACH",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.089111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2871263",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "DREISBACH",
            "middle_name": "ALLISON",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.