Individual provider Active NPI

Madelyn Renee Sartain, DO

  • Family Medicine Physician
  • Dublin, OH
National Provider Identifier
1649356304
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34003964 Issued in OH
Practice address
6810 Perimeter Dr
Ste 100
Dublin, OH 43016
Phone
(614) 766-2220
Fax
(614) 799-3023
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) Physician 207QA0000X 34003964 OH
Addiction Medicine (Family Medicine) Physician 207QA0401X 34003964 OH
Adult Medicine Physician 207QA0505X 34003964 OH
Geriatric Medicine (Family Medicine) Physician 207QG0300X 34003964 OH
General Practice Physician 208D00000X 34003964 OH
Family Medicine Physician 207Q00000X 34003964 OH Primary

Addresses

Primary practice location

6810 Perimeter Dr
Ste 100
Dublin, OH 43016

Mailing address

PO Box 3731
Dublin, OH 43016-0374
Phone (614) 766-2220

Other identifiers 1

IdentifierTypeStateIssuer
0592729MedicaidOH

Other names 1

  • Renee Sartain Professional 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
I20101103000414 OH Practitioner - Family PracticePractitioner - General Practice 3072707090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Addiction Angels of America LLCGroup PAC ID 8628354198, 3 clinicians

Practice addresses (Care Compare)

1525 Bethel Rd
Columbus, OH 43220-2054
Phone (614) 396-7850

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Angels of America, LLC CurrentSince Oct 1, 2019 Accepting new patients
Progressive Health and Rehab Corp PastSince Feb 13, 2013 Accepting new patients
Doctors Office of Dublin LLC Family Medicine Past Accepting new patients
Addiction Angels of America, LLC PastSince Oct 1, 2019 Accepting new patients

Locations

4889 Sinclair Rd
Ste 111
Columbus, OH 43229
Phone (614) 396-7850

1525 Bethel Rd
Columbus, OH 43220
Phone (614) 396-7850

1525 Bethel Rd
Ste 100
Columbus, OH 43220

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1649356304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3731",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430160374",
            "telephone_number": "614-766-2220",
            "fax_number": "614-799-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 PERIMETER DR",
            "address_2": "STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "43016",
            "telephone_number": "614-766-2220",
            "fax_number": "614-799-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARTAIN",
        "first_name": "MADELYN",
        "middle_name": "RENEE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "OH",
            "license": "34003964",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "34003964",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "OH",
            "license": "34003964",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "34003964",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "34003964",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34003964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0592729",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "SARTAIN",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.