Individual provider Active NPI

Matthew T. Paulus, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Columbus, OH
National Provider Identifier
1689022303
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
COA- 19250 Issued in OH
Practice address
5151 Reed Rd
Suite 225-C
Columbus, OH 43220-2553
Phone
(614) 884-0641
Fax
(614) 884-0776
NPI assigned
Jun 3, 2016
Last updated
Jan 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X COA- 19250 OH Primary

Addresses

Primary practice location

5151 Reed Rd
Suite 225-C
Columbus, OH 43220-2553

Mailing address

5151 Reed Rd
Suite 225-C
Columbus, OH 43220-2553
Phone (614) 884-0641

Other identifiers 2

IdentifierTypeStateIssuer
0171565MedicaidOH
P01673775OtherOHRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160711002422 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436441565 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PHS Anesthesia Billing, LLCGroup PAC ID 2264958412, 241 clinicians
Marion Area Physicians LLCGroup PAC ID 1850549437, 179 clinicians
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians
Arlington Anesthesia Partners LLCGroup PAC ID 7618344698, 91 clinicians
Premier Anesthesia of Ohio LLCGroup PAC ID 3779714258, 123 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

1000 McKinley Park Dr
Marion, OH 43302-6399
Phone (800) 282-6741

1040 Delaware Ave
Marion, OH 43302-6416
Phone (740) 383-7936

1050 Delaware Ave
Marion, OH 43302-6416
Phone (740) 383-7936

111 S Grant Ave 3Rd FL
Columbus, OH 43215-1898
Phone (614) 566-9871

600 N Pickaway St
Circleville, OH 43113-1447
Phone (614) 352-6479

6001 E Broad St
Columbus, OH 43213-1502
Phone (678) 690-7808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
COA- 19250OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
New Albany Orthopedic Anesthesia LLC CurrentSince Sep 6, 2022 Accepting new patients
Ohiohealth Corporation CurrentSince May 1, 2023 Accepting new patients
Diagnostic Pathology, LLC Current Accepting new patients
Ohiohealth Corporation Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Anesthesia Associates of Lima Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Mar 1, 2023 Accepting new patients
Mary Rutan Hospital CurrentSince Jul 15, 2025 Accepting new patients
Mary Rutan Hospital CurrentSince Jul 15, 2025 Accepting new patients
Arlington Anesthesia Partners LLC CurrentSince Nov 25, 2022 Accepting new patients
PHS Anesthesia Billing, LLC CurrentSince Jul 11, 2025 Accepting new patients
Ohiohealth Corporation Current Accepting new patients
Midwest Physician Anesthesia Services, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 7, 2016 Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Mar 1, 2023 Accepting new patients
Marion Area Physicians LLC CurrentSince Jul 1, 2024 Accepting new patients
Dayton Anesthesia & Pain Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Premier Anesthesia of Ohio LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Mary Rutan Hospital Past Accepting new patients
Deperro Plastic Surgery, LLC Past Accepting new patients
Orange ASC, LTD Past Accepting new patients

Locations

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

111 S Grant Ave
Fl 3
Columbus, OH 43215
Phone (614) 566-9871

2240 N Bank Dr
Uppr Arl
Columbus, OH 43220
Phone (614) 442-6515

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

3600 Stelzer Rd
Ste 100
Columbus, OH 43219
Phone (614) 255-2900

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

5151 Reed Rd
Ste 225C
Columbus, OH 43220
Phone (614) 457-2306

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

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

Dept L3652
Columbus, OH 43260

L3688
Columbus, OH 43260

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

1375 Stringtown Rd
Grove City, OH 43123
Phone (614) 352-6479

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 6

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": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1689022303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 REED RD",
            "address_2": "SUITE 225-C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202553",
            "telephone_number": "614-884-0641",
            "fax_number": "614-884-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 REED RD",
            "address_2": "SUITE 225-C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202553",
            "telephone_number": "614-884-0641",
            "fax_number": "614-884-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULUS",
        "first_name": "MATTHEW",
        "middle_name": "T.",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA- 19250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0171565",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01673775",
            "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 Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.