NPIMap

Individual provider Active NPI

Douglas W Widman, MD

  • Radiation Oncology Physician
  • Columbus, OH
National Provider Identifier
1669461828
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35077393 Issued in OH
Practice address
793 W State St
Columbus, OH 43222-1551
Phone
(614) 234-5100
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 35077393 OH Primary
Diagnostic Radiology Physician 2085R0202X 35077393 OH

Addresses

Primary practice location

793 W State St
Columbus, OH 43222-1551

Mailing address

Dept L-647
Columbus, OH 43260-0001
Phone (866) 287-0568

Other identifiers 1

IdentifierTypeStateIssuer
2152352MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120222000358 OH Practitioner - Diagnostic Radiology 2567620552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians
Radiology IncGroup PAC ID 1658274543, 56 clinicians

Practice addresses (Care Compare)

600 Richland Mall
Ontario, OH 44906-1246
Phone (419) 468-0505

793 W State St
Columbus, OH 43222-1551
Phone (614) 234-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.62 of 100Reported as group
Quality
75.91
Improvement activities
40
Cost
82.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35077393OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Inc Diagnostic Radiology CurrentSince Jan 1, 2000 Accepting new patients
North Central Ohio Family Care Center, Inc CurrentSince Nov 6, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Southern Indiana Radiological Associates Inc Diagnostic Radiology Past Accepting new patients
Northwest Radiology Network P C Diagnostic Radiology Past Accepting new patients

Locations

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

3100 Plaza Properties Blvd
Columbus, OH 43219
Phone (614) 383-6000

3100 Plaza Properties Blvd
#120
Columbus, OH 43219

Dept L 647
Columbus, OH 43260

Dept L647
Columbus, OH 43260

600 Richland Mall
Ontario, OH 44906
Phone (419) 462-4656

2981 W 4th St
Ontario, OH 44906
Phone (419) 468-0505

10330 Sawmill Pkwy
Ste 500
Powell, OH 43065
Phone (614) 234-0522

495 Cooper Rd
Ste 120
Westerville, OH 43081
Phone (614) 898-8400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2586/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dwidman1155072@direct.trinity-health.org
  • Direct secure messaging: dwidman1560231@direct.osumc.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1669461828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT L-647",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432600001",
            "telephone_number": "866-287-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 W STATE ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221551",
            "telephone_number": "614-234-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDMAN",
        "first_name": "DOUGLAS",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35077393",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35077393",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2152352",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.