Active NPI
James C Prueter, DO
- Otolaryngology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 34-011112
- Practice address
- 5193 W Broad St Ste 100
Columbus, OH 43228-1695 - Phone
- (614) 788-2510
- NPI assigned
- Jul 16, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 34-011112 | OH | Primary |
Addresses
Primary practice location
5193 W Broad St Ste 100
Columbus, OH 43228-1695
Mailing address
PO Box 7527
Dublin, OH 43017-0727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0103972 | Medicaid | OH |
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
- Otolaryngology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5193 W Broad St
Suite 100
Columbus, OH 43228-1695
Phone (614) 788-2510
Hospital & facility affiliations
- Doctors Hospital
- Riverside Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-011112 | OH | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
5193 W Broad St
Ste 100
Columbus, OH 43228
Phone (614) 544-1951
Dept L3652
Columbus, OH 43260
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1972535052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1649525684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7527",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430170727",
"fax_number": "614-544-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5193 W BROAD ST STE 100",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432281695",
"telephone_number": "614-788-2510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUETER",
"first_name": "JAMES",
"middle_name": "C",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-16",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OH",
"license": "34-011112",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0103972",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.