Individual provider Active NPI

Ruth R Mullowney-Agra, M.D.

  • Infectious Disease Physician
  • Columbus, OH
National Provider Identifier
1629047121
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
35077611 Issued in OH
Practice address
2970 W Broad St
Columbus, OH 43204-2649
Phone
(614) 279-0808
Fax
(614) 279-6111
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 35077611 OH Primary

Addresses

Primary practice location

2970 W Broad St
Columbus, OH 43204-2649

Mailing address

775 W Broad St Ste 200
Columbus, OH 43222-1471
Phone (614) 627-1610

Other identifiers 1

IdentifierTypeStateIssuer
2264437MedicaidOH

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address ruth.mullowney-agra@mchs.com Direct
Direct Messaging Address ruth.mullowney-agra@mchs.com Direct
Direct Messaging Address rmullowneyagra1155035@direct.trinity-health.org Direct

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
I20040517000327 OH Practitioner - Infectious DiseasePractitioner - Internal Medicine 9739179227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Saint Louis University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

55 N High St
New Albany, OH 43054-7099
Phone (614) 627-1878

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35077611OHMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Inc CurrentSince Jul 30, 2017 Accepting new patients
Mount Carmel Health Providers Inc CurrentSince Jul 30, 2017 Accepting new patients
Mount Carmel Health Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Independent Inpatient Physicians, Inc. Past Accepting new patients
Mount Carmel Health Past Accepting new patients

Locations

777 W State St
Ste 308
Columbus, OH 43222
Phone (614) 279-0808

775 W Broad St
Ste 200
Columbus, OH 43222
Phone (614) 627-1610

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

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

Interoperability endpoints

  • Direct secure messaging: rmullowneyagra1155035@direct.trinity-health.org

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 2

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1629047121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 W BROAD ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221471",
            "telephone_number": "614-627-1610",
            "fax_number": "614-228-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432042649",
            "telephone_number": "614-279-0808",
            "fax_number": "614-279-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLOWNEY-AGRA",
        "first_name": "RUTH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35077611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2264437",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ruth.mullowney-agra@mchs.com",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Medical Group work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "I don't know what this means",
            "address_1": "775 W Broad St Ste 200",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432221471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ruth.mullowney-agra@mchs.com",
            "affiliation": "N",
            "endpointDescription": "Mount carmel direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "I don't understand this query",
            "address_1": "775 W Broad St Ste 200",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432221471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmullowneyagra1155035@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Health Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2970 W Broad St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432042649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.