Active NPI
Jeffrey Robert Hawley, MD
- Diagnostic Radiology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35.090152
- Practice address
- 395 W 12TH Ave
Room 460
Columbus, OH 43210-1267 - Phone
- (614) 293-8369
- NPI assigned
- May 2, 2007
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35.090152 | OH | Primary |
Addresses
Primary practice location
395 W 12TH Ave
Room 460
Columbus, OH 43210-1267
Mailing address
395 W 12TH Ave
Room 460
Columbus, OH 43210-1267
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810017116 | Medicaid | WV | |
| 3034255 | 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
- Diagnostic Radiology
- Education
- Ohio State University College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1699 W Mound St
Columbus, OH 43223-1809
Phone (614) 437-2876
395 W 12TH Ave
RM 460
Columbus, OH 43210-1267
Phone (614) 293-8315
Hospital & facility affiliations
- James Cancer Hospital & Solove Research Institute
- Ohio State University State Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.090152 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifecare Alliance | Diagnostic Radiology | Current | Accepting new patients |
| Osu Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| Lifecare Alliance | Current | Accepting new patients |
Locations
1699 W Mound St
Columbus, OH 43223
Phone (614) 278-3130
395 W 12th Ave
Rm 460
Columbus, OH 43210
Phone (614) 293-8299
700 Ackerman Rd
Ste 570
Columbus, OH 43202
Phone (614) 293-2046
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Home Health Agency
- Columbus, OH
- NPI 1669429544
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1912956814
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Columbus, OH
- NPI 1124127683
-
- Rehabilitation Hospital Unit
- Columbus, OH
- NPI 1184723637
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1447359997
-
- Psychiatric Hospital Unit
- Columbus, OH
- NPI 1790876183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1659592004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 W 12TH AVE",
"address_2": "ROOM 460",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 W 12TH AVE",
"address_2": "ROOM 460",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101267",
"telephone_number": "614-293-8369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWLEY",
"first_name": "JEFFREY",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35.090152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810017116",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3034255",
"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 Jul 22, 2010; 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.