NPIMap

Individual provider Active NPI

Robert D Whitehead, M.D.

  • Sports Medicine (Family Medicine) Physician
  • New Albany, OH
National Provider Identifier
1700863388
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
35-062312 Issued in OH
Practice address
5040 Forest Dr
Suite 300
New Albany, OH 43054-8181
Phone
(614) 890-6555
Fax
(614) 775-1484
NPI assigned
Dec 27, 2005
Last updated
Mar 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 35-062312 OH Primary

Addresses

Primary practice location

5040 Forest Dr
Suite 300
New Albany, OH 43054-8181

Mailing address

70 S Cleveland Ave
Westerville, OH 43081-1397
Phone (614) 839-3275

Other identifiers 1

IdentifierTypeStateIssuer
0995571MedicaidOH

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
I20051214000083 OH Practitioner - Sports MedicinePractitioner - Family Practice 3173544400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
West Virginia University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1045 Beecher Crossing N
Suite C
Gahanna, OH 43230-4573

4885 Olentangy River Rd
Suite 1 10
Columbus, OH 43214-1953
Phone (614) 268-6555

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
85.5
Improvement activities
40
Cost
83.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-062312OHMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Neurological Consultants, Inc. CurrentSince Apr 14, 2011 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Sports Medicine CurrentSince Nov 22, 2021 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Nov 22, 2021 Accepting new patients
Orthopedic & Neurological Consultants, Inc CurrentSince Apr 14, 2011 Accepting new patients
Dublin Urgent Care Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Max Sports Medicine Institute, Inc Past Accepting new patients
Americas Urgent Care of Lewis Center LLC Past Accepting new patients
Urgent Medical Care of Pickerington Past Accepting new patients

Locations

1313 Olentangy River Rd
Columbus, OH 43212
Phone (614) 221-3725

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

4885 Olentangy River Rd
Ste 1-10
Columbus, OH 43214
Phone (614) 268-6555

L 3973
Columbus, OH 43260

5040 Forest Dr
Ste 300
New Albany, OH 43054
Phone (614) 839-2128

70 S Cleveland Ave
Westerville, OH 43081
Phone (614) 839-2115

Interoperability endpoints

  • Direct secure messaging: rwhitehead@orthon1642.srs-direct.com
  • Direct secure messaging: rwhitehead21712@copcp.medicity.net

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1700863388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S CLEVELAND AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811397",
            "telephone_number": "614-839-3275",
            "fax_number": "614-775-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 FOREST DR",
            "address_2": "SUITE 300",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548181",
            "telephone_number": "614-890-6555",
            "fax_number": "614-775-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "35-062312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0995571",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

Verify at the official NPI Registry.