Individual provider Active NPI

Rick Allen Chamberlain, M.D.

  • Family Medicine Physician
  • Columbus, IN
National Provider Identifier
1619970704
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.044870 Issued in OH
Practice address
2350 Sandcrest Blvd #D
Columbus, IN 47203
Phone
(812) 900-1272
NPI assigned
May 23, 2005
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
640864OtherINBLUE CROSS BLUE SHIELD
200121010MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090708000458 OH Practitioner - Family Practice 9931012861 Reassigns benefits to 1 organization

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 IncGroup PAC ID 8426965039, shared by 8 NPIs, 27 clinicians
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
35.044870OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc Family Medicine CurrentSince Jul 27, 2022 Accepting new patients
Englewood Emergency Physicians PA Past Accepting new patients
Windrose Health Network, Inc. Past Accepting new patients
Clark Emergenc Y Group, LLC PastSince Apr 1, 2004 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.

View all 17

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": "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

Verify at the official NPI Registry.