NPIMap

Individual provider Active NPI

Sharistha I Peerzade, MD

  • Family Medicine Physician
  • Reynoldsburg, OH
National Provider Identifier
1700010972
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-093175 Issued in OH
Practice address
2014 Baltimore Reynoldsburg Rd
Reynoldsburg, OH 43068-3261
Phone
(614) 533-6440
Fax
(614) 533-0140
NPI assigned
May 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-093175 OH Primary

Addresses

Primary practice location

2014 Baltimore Reynoldsburg Rd
Reynoldsburg, OH 43068-3261

Mailing address

5400 Frantz Rd
Ste 250
Dublin, OH 43016-4144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address speerzade1158233@direct.trinity-health.org Direct

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
I20090914000675 OH Practitioner - Family Practice 1052467230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

237 W Schrock Rd
Suite B
Westerville, OH 43081-2874
Phone (614) 627-1410

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-093175OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health Providers Inc Family Medicine CurrentSince Sep 18, 2017 Accepting new patients
Mount Carmel Healthproviders Inc Family Medicine CurrentSince Sep 18, 2017 Accepting new patients
Ohiohealth Corporation CurrentSince Nov 30, 2015 Accepting new patients
Ohiohealth Corporation Family Medicine CurrentSince Nov 30, 2015 Accepting new patients
Mount Carmel Healthproviders Two LLC Past Accepting new patients

Locations

500 E Main St
Ste 100
Columbus, OH 43215
Phone (614) 222-2202

Dept L3652
Columbus, OH 43260

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

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

2014 Baltimore Reynoldsburg Rd
Reynoldsburg, OH 43068
Phone (614) 522-6900

237 W Schrock Rd
#B
Westerville, OH 43081
Phone (614) 627-1410

237 W Schrock Rd
Westerville, OH 43081
Phone (614) 221-1009

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 10

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": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1700010972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 FRANTZ RD",
            "address_2": "STE 250",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 BALTIMORE REYNOLDSBURG RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683261",
            "telephone_number": "614-533-6440",
            "fax_number": "614-533-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEERZADE",
        "first_name": "SHARISTHA",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-093175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "speerzade1158233@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mount carmel health columbus Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccd",
            "address_1": "237 W Schrock Rd",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430812874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.