Active NPI
Rick Allen Chamberlain, M.D.
- Family Medicine Physician
- Columbus, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.044870
- Practice address
- 2350 Sandcrest Blvd #D
Columbus, IN 47203 - Phone
- (812) 900-1272
- NPI assigned
- May 23, 2005
- Last updated
- Sep 13, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01038230A | IN | |
| Family Medicine Physician | 207Q00000X | 35.044870 | OH | Primary |
Addresses
Primary practice location
2350 Sandcrest Blvd #D
Columbus, IN 47203
Mailing address
3809 Waycross Drive
Columbus, IN 47203
Phone (812) 390-0042
Other practice location 1
3401 E Raymond St
Indianapolis, IN 46203-4744
Phone (317) 957-2100
Other practice location 2
3250 Middle Urbana Rd
Springfield, OH 45502-9285
Phone (937) 399-7777
Other practice location 3
600 W Main St Ste 330
Troy, OH 45373-3384
Phone (937) 980-7400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 640864 | Other | IN | BLUE CROSS BLUE SHIELD |
| 200121010 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rchamberlain166447@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
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
- Family Practice
- Education
- Warren Alpert Medical School of Brown University, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Windrose Health Network Inc
Practice addresses (Care Compare)
11 Trafalgar SQ
Trafalgar, IN 46181-9515
14 Trafalgar SQ
Trafalgar, IN 46181-9515
Phone (317) 412-9190
1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.8 of 100
- Quality
- 73.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.044870 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Family Medicine | Current | Accepting new patients |
| Englewood Emergency Physicians PA | Past | Accepting new patients | |
| Windrose Health Network, Inc. | Past | Accepting new patients | |
| Clark Emergenc Y Group, LLC | Past | Accepting new patients | |
| Windrose Health Network, Inc. | Past | Accepting new patients | |
| Phoenix Emergency Services of Scott County LLC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Windrose Health Network, Inc. | Past | Accepting new patients | |
| Midwest Medical Management, P.C. | Past | Accepting new patients | |
| Southeastern Emergency Physicians of Memphis LLC | Past | Accepting new patients | |
| Indiana University Health Paoli Inc | Past | Accepting new patients | |
| Northern Indiana Emergency Physicians, LLP | Past | Accepting new patients | |
| Columbus Urgent Care Center | Family Medicine | Past | Accepting new patients |
| Windrose Health Network Inc | Past | Accepting new patients | |
| Major Medical Group LLC | Family Medicine | Past | Accepting new patients |
| Midwest Medical Management, P.C. | Past | Accepting new patients | |
| Windrose Health Network, Inc. | Past | Accepting new patients |
Locations
7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
1 Kettering Way
Ste 200
Piqua, OH 45356
Phone (937) 916-2700
3250 Middle Urbana Rd
Springfield, OH 45502
Phone (937) 399-7777
600 W Main St
Ste 330
Troy, OH 45373
Phone (937) 429-7350
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
1099 W 2nd St
Xenia, OH 45385
Phone (937) 376-5644
Organizations & group practices 17
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.
-
dba Kettering Health Medical Group
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
-
- Emergency Medicine Physician
- Charlestown, IN
- NPI 1215031869
-
dba IU Health Paoli
- Emergency Medical Services (Emergency Medicine) Physician
- Paoli, IN
- NPI 1457519324
-
- Family Medicine Physician
- Shelbyville, IN
- NPI 1609174879
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1417996430
-
- Emergency Medicine Physician
- Bedford, IN
- NPI 1831138734
-
- Emergency Medicine Physician
- Bloomington, IN
- NPI 1497185797
-
- Emergency Medicine Physician
- Scottsburg, IN
- NPI 1295784379
-
dba Edinburgh/Trafalgar Family Health Centers, Inc
- Federally Qualified Health Center (FQHC)
- Trafalgar, IN
- NPI 1568404226
-
dba Windrose Health Network - Franklin
- Federally Qualified Health Center (FQHC)
- Franklin, IN
- NPI 1194003657
-
dba Windrose Health Network - Trafalgar
- Federally Qualified Health Center (FQHC)
- Trafalgar, IN
- NPI 1255611331
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, IN
- NPI 1346248986
-
dba JMH Immediate/Occupation Health
- Occupational Medicine Clinic/Center
- Franklin, IN
- NPI 1679577357
Hospital
-
dba Kettering Health Troy
- General Acute Care Hospital
- Troy, OH
- NPI 1023587045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1619970704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3809 WAYCROSS DRIVE",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "47203",
"telephone_number": "812-390-0042",
"fax_number": "317-398-1852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 SANDCREST BLVD #D",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "47203",
"telephone_number": "812-900-1272"
}
],
"practiceLocations": [
{
"address_1": "3401 E Raymond St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462034744",
"country_code": "US",
"telephone_number": "317-957-2100",
"fax_number": "317-957-2120",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3250 Middle Urbana Rd",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OH",
"postal_code": "455029285",
"country_code": "US",
"telephone_number": "937-399-7777",
"fax_number": "937-399-6794",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 W Main St Ste 330",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "OH",
"postal_code": "453733384",
"country_code": "US",
"telephone_number": "937-980-7400",
"fax_number": "937-980-7409",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAMBERLAIN",
"first_name": "RICK",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01038230A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.044870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "640864",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200121010",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rchamberlain166447@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "600 W Main St Ste 330",
"city": "Troy",
"state": "OH",
"country_code": "US",
"postal_code": "453733384",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "600 W Main St Ste 330",
"city": "Troy",
"state": "OH",
"country_code": "US",
"postal_code": "453733384",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.