Organization Active NPI

Columbus Radiology Corp

  • Diagnostic Radiology Physician
  • Columbus, OH
National Provider Identifier
1669408159
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
COLUMBUS RADIOLOGY CORP
Practice address
111 S Grant Ave
Columbus, OH 43215-4701
Phone
(888) 271-3826
NPI assigned
Jun 25, 2006
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Karen Marie Vaughn
Title
Ao
Phone
(629) 317-1465

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X Primary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X

Addresses

Primary practice location

111 S Grant Ave
Columbus, OH 43215-4701

Mailing address

PO Box 202260
Dallas, TX 75320-2260
Phone (614) 566-9000

Other identifiers 1

IdentifierTypeStateIssuer
2974509MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, HI, CA, AZ, KY, NY, IL, MI, NC, OR, CO, NJ, NV, UT, SC, FL, TX, WI, AL, DC, PA, MT, OK, RI, TN, GA, MD, WA, ME, VA, CT, MA, WV, IN, MN, KS, WY, MS, NM39 enrollments

Enrollment records 39

Enrollment IDStateProvider typePAC IDDetails
O20040308000742 OH Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 336 practitioners
1 other NPI on this enrollment
O20100127000680 HI Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 17 practitioners
Practice locations: Waipahu, HI; Waialua, HI; Mountain View, HI; Lahaina, HI; Kapolei, HI; Kailua Kona, HI; Kailua, HI; Honolulu, HI…
O20170208001395 CA Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 41 practitioners
Practice locations: Newport Beach, CA; Studio City, CA; Orinda, CA; Palm Desert, CA; Palm Springs, CA; Portola Valley, CA; Redondo Beach, CA; Roseville, CA…
O20170215002490 AZ Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 8 practitioners
Practice locations: Scottsdale, AZ; Sedona, AZ; Tucson, AZ; Phoenix, AZ; Paradise Valley, AZ; Prescott, AZ; Cave Creek, AZ; Gilbert, AZ
O20170306001343 KY Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 15 practitioners
Practice locations: Simpsonville, KY; Versailles, KY; Prospect, KY; Nicholasville, KY; Newport, KY; Louisville, KY; Lexington, KY; Georgetown, KY…
O20170413001689 NY Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 3 practitioners
Practice locations: Chautauqua, NY; East Amherst, NY; Lake Placid, NY; Menands, NY
O20170417000208 IL Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 15 practitioners
Practice locations: South Barrington, IL; Carbondale, IL; Oak Brook, IL; Naperville, IL; Lincolnwood, IL; Chicago, IL; Bridgeview, IL; Highland Park, IL
O20170418001620 MI Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 11 practitioners
Practice locations: Bloomfield Hills, MI; Washington, MI; Traverse City, MI; Temperance, MI; Stanton, MI; Saginaw, MI; Rochester Hills, MI; Niles, MI…
O20170501000331 NC Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
Practice locations: Cary, NC; Raleigh, NC; Matthews, NC; Littleton, NC; Haw River, NC; Greenville, NC; Fayetteville, NC; Durham, NC…
O20170621001399 OR Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 6 practitioners
Practice locations: Bend, OR; Corvallis, OR; Portland, OR
O20170630001497 CO Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 15 practitioners
Practice locations: Denver, CO; Ridgway, CO; Palmer Lake, CO; Littleton, CO; Grand Junction, CO; Fort Collins, CO; Englewood, CO; Boulder, CO…
O20170719001245 NJ Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 6 practitioners
Practice locations: Martinsville, NJ; Weehawken, NJ; Saddle River, NJ; Moorestown, NJ; Howell, NJ; Englewood Cliffs, NJ; Cherry Hill, NJ; Bergenfield, NJ
O20171024003157 NV Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 6 practitioners
Practice locations: Incline Village, NV; Henderson, NV; Las Vegas, NV
O20180730000956 UT Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 3 practitioners
Practice locations: Salt Lake City, UT; Saint George, UT; Helper, UT; Alpine, UT
O20181107001886 SC Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 8 practitioners
Practice locations: Aiken, SC; Charleston, SC; Greenville, SC; North Augusta, SC
O20181206003284 FL Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 42 practitioners
1 other NPI on this enrollment
Practice locations: Ponte Vedra, FL; Naples, FL; Pompano Beach, FL; Orlando, FL; North Miami Beach, FL; Niceville, FL; Satellite Each, FL; Sanford, FL…
O20190108000527 TX Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 39 practitioners
Practice locations: Irving, TX; San Antonio, TX; Katy, TX; Laredo, TX; Lewisville, TX; Lubbock, TX; Missouri City, TX; Plano, TX…
O20190827001850 WI Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 4 practitioners
Practice locations: Fontana, WI; Wauwatosa, WI; Whitewater, WI; Woodruff, WI
O20190912003316 AL Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 4 practitioners
Practice locations: Madison, AL; Gulf Shores, AL; Birmingham, AL; Hoover, AL
O20190919001909 DC Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 11 practitioners
Practice locations: Washington, DC; Potomac, MD; MC Lean, VA; Falls Church, VA; Bethesda, MD; Arlington, VA
O20190919002360 PA Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 18 practitioners
Practice locations: Wynnewood, PA; Wexford, PA; Upper Saint Clair, PA; Sewickley, PA; Pittsburgh, PA; Mars, PA; Canonsburg, PA; Erie, PA…
O20190925001016 MT Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 3 practitioners
Practice locations: Billings, MT; Whitefish, MT
O20200413001620 OK Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK
O20200702000258 RI Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 1 practitioner
Practice locations: Hope, RI
O20200713001637 TN Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 12 practitioners
Practice locations: Clarksville, TN; Nashville, TN; Lafollette, TN; Knoxville, TN; Caryville, TN
O20210108001400 GA Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 12 practitioners
Practice locations: Suwanee, GA; Pooler, GA; Marietta, GA; Columbus, GA; Acworth, GA; Atlanta, GA
O20210111002273 MD Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 3 practitioners
Practice locations: Baltimore, MD; Hanover, MD; Marriottsville, MD
O20211018001934 WA Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 7 practitioners
Practice locations: Anacortes, WA; Walla Walla, WA; Vancouver, WA; University Place, WA; Olympia, WA; Seattle, WA; Lacey, WA; Mercer Island, WA
O20211215000972 ME Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 1 practitioner
Practice locations: Cape Elizabeth, ME; South Portland, ME
O20220104003042 VA Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 9 practitioners
Practice locations: Brambleton, VA; Norfolk, VA; Roanoke, VA; Suffolk, VA; Union Hall, VA; Winchester, VA
O20220907000825 CT Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 2 practitioners
Practice locations: Groton, CT; New Haven, CT; Stamford, CT
O20220908000442 MA Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 3 practitioners
Practice locations: Newton, MA; Waltham, MA; Wayland, MA
O20220915001147 WV Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 2 practitioners
Practice locations: Beckley, WV; Hurricane, WV
O20221230000476 IN Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 1 practitioner
Practice locations: Carmel, IN
O20230309002219 MN Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 2 practitioners
Practice locations: Minneapolis, MN; Mound, MN
O20230421001351 KS Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 2 practitioners
Practice locations: Leawood, KS
O20240219003046 WY Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 6 practitioners
Practice locations: Cheyenne, WY
O20251030003941 MS Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 2 practitioners
Practice locations: Vancleave, MS; Pelahatchie, MS
O20251114002854 NM Part B Supplier - Clinic/Group Practice 6507754983 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations (25 of 51)

263 Tresser Blvd
Ste 946
Stamford, CT 06901
Phone (917) 484-1741

2255 Kuhio Ave
Ste 1030
Honolulu, HI 96815
Phone (614) 221-7771

2255 Kuhio Ave
Ste 706
Honolulu, HI 96815
Phone (614) 566-9231

1900 Paysphere Cir
Chicago, IL 60674

22 S Greene St
Rm S2A19
Baltimore, MD 21201
Phone (410) 328-1565

604 W North Ave
Ada, OH 45810
Phone (419) 634-0431

1449 Boardman Canfield Rd
Boardman, OH 44512
Phone (330) 729-7777

61353 Southgate Rd
Cambridge, OH 43725
Phone (740) 432-8173

1205 Clark St
Cambridge, OH 43725
Phone (740) 432-5465

625 W Waterloo St
Canal Winchester, OH 43110
Phone (614) 355-3400

2600 Tuscarawas St W
Ste 100
Canton, OH 44708
Phone (330) 452-8844

4151 Holiday St NW
Canton, OH 44718
Phone (330) 492-8001

4437 State Route 159
Chillicothe, OH 45601
Phone (740) 779-4570

4415 Aicholtz Rd
Ste 100
Cincinnati, OH 45245

12029 Sheraton Ln
Bldg 8
Cincinnati, OH 45246

7755 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 233-2230

471 E Broad St
Ste 1500
Columbus, OH 43215

901 Woody Hayes Dr
Columbus, OH 43210
Phone (512) 633-3754

471 E Broad St
Ste 140
Columbus, OH 43215

1460 Orange St
Ste 401
Coshocton, OH 43812
Phone (740) 623-4132

4774 Kidron Rd
Dalton, OH 44618

603 Monroe St
Dover, OH 44622
Phone (330) 364-8889

400 Medical Park Dr
Ste LI1
Dover, OH 44622

1830 Union City Rd
Fort Recovery, OH 45846
Phone (419) 375-4144

504 Havens Corners Rd
Gahanna, OH 43230
Phone (614) 337-1006

Practitioners & affiliated clinicians

Practitioners 781

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 781

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1669408159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202260",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753202260",
            "telephone_number": "614-566-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154701",
            "telephone_number": "888-271-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS RADIOLOGY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "629-317-1465"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2974509",
            "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 Mar 25, 2026; 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.