Organization Active NPI

Equitas Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
National Provider Identifier
1659976173
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
EQUITAS HEALTH, INC
Practice address
4400 N High St
Columbus, OH 43214-2635
Phone
(614) 340-6777
NPI assigned
Dec 2, 2020
Organization subpart
Yes
Parent organization
EQUITAS HEALTH, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Jonathan Scherer
Title
Medical Billing Coordinator
Phone
(614) 340-6723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

4400 N High St
Columbus, OH 43214-2635

Mailing address

4400 N High St
Columbus, OH 43214-2635
Phone (614) 340-6777

Other identifiers 1

IdentifierTypeStateIssuer
0068920MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Columbus Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120830000276 OH Part B Supplier - Clinic/Group Practice 2769638154 Receives reassigned benefits from 59 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbus, OH; Toledo, OH; Portsmouth, OH; Dayton, OH; Cincinnati, OH; Athens, OH; Akron, OH

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Equitas Healthinc

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1659976173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142635",
            "telephone_number": "614-340-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142635",
            "telephone_number": "614-340-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUITAS HEALTH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EQUITAS HEALTH, INC",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "SCHERER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MEDICAL BILLING COORDINATOR",
        "authorized_official_telephone_number": "614-340-6723"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068920",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Columbus",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4400 N High St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432142635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.