Sofanit Dessie, MD
Individual provider Active NPI Internal Medicine Physician · Columbus, OH
NPI 1699264283 · NPPES record last updated Jul 6, 2021
Key facts
- NPI
- 1699264283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35.142056 (OH)
- Practice address
- 3525 Olentangy River Rd Ste 4330
Columbus, OH 43214-3937 - Phone
- (614) 255-6900
- Fax
- (614) 255-6901
- NPI assigned
- May 9, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Ohio Hospitalists, Inc
Practice addresses (Care Compare)
3525 Olentangy River Rd
Suite 4330
Columbus, OH 43214-3937
Phone 61425569001122
Hospital & facility affiliations
- Genesis Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210722003547 | OH | Practitioner - Internal Medicine | 1557614674 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Medical Group, LLC | Current |
Accepting new patients | |
| Genesis Medical Group LLC | Internal Medicine | Current |
Accepting new patients |
| Central Ohio Hospitalists, Inc | Current |
Accepting new patients | |
| Genesis Healthcare System | Past | Accepting new patients |
Locations
3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997
3525 Olentangy River Rd
Ste 4330
Columbus, OH 43214
Phone (614) 255-6930
945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038
2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | WV | ||
| Internal Medicine Physician | 207R00000X | 35.142056 | OH | Yes |
Addresses
Primary practice location
3525 Olentangy River Rd Ste 4330
Columbus, OH 43214-3937
Mailing address
3525 Olentangy River Rd Ste 4330
Columbus, OH 43214-3937
Phone (614) 255-6900
Other practice location 1
1249 15th St Ste 200
Huntington, WV 25701-3662
Phone (304) 691-1000
Other providers in Columbus, OH
- Chageo Desmond
- Emily R Desmond
- Kendra C Desoto
- Jean Desrosiers
- Rebecca D Desrosiers
- Jasmine Destine
- Destined Pathways
- Destiny Center for Recovery
- Destiny Center for Recovery
- Janelle Dethloff
All providers in Columbus, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.