Active NPI
Nicholas Robert Polley, MD
- Hospitalist Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 35.143969
- Practice address
- 111 S Grant Ave
Columbus, OH 43215-4701 - Phone
- (614) 566-8883
- Fax
- (614) 566-8149
- NPI assigned
- Apr 9, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.143969 | OH | |
| Hospitalist Physician | 208M00000X | 35.143969 | OH | Primary |
Addresses
Primary practice location
111 S Grant Ave
Columbus, OH 43215-4701
Mailing address
PO Box 7527
Dublin, OH 43017-0727
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | npolley1024412@direct.ohiohealth.com | OhioHealth Physician Group, Inc. |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Ohio State University College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 S Grant Ave
Columbus, OH 43215-4701
Phone (614) 566-9489
Hospital & facility affiliations
- Grant Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.04 of 100
- Quality
- 58.67
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Youngstown Specialty Care LLC | Hospitalist | Current | Accepting new patients |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Internal Medicine | Current | Accepting new patients |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Ohiohealth Corporation | Past | Accepting new patients |
Locations
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232
Dept L3652
Columbus, OH 43260
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
2115 Leiter Rd
Miamisburg, OH 45342
Phone (937) 384-6920
8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929
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.
-
- Surgery Physician
- Youngstown, OH
- NPI 1649892225
Hospitalist
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1386316107
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1255377149
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1255377149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1679036552",
"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"
},
{
"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": "614-566-8883",
"fax_number": "614-566-8149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLEY",
"first_name": "NICHOLAS",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.143969",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35.143969",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "npolley1024412@direct.ohiohealth.com",
"affiliation": "Y",
"affiliationName": "OhioHealth Physician Group, Inc.",
"address_1": "111 S Grant Ave",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432154701",
"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 Jan 10, 2024; 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.