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Individual provider Active NPI

Miriam L Garcellano, DO

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1710107180
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.010542 Issued in OH
Practice address
3525 Olentangy River Rd Ste 4330
Columbus, OH 43214-3937
Phone
(614) 255-6900
Fax
(614) 255-6901
NPI assigned
Apr 26, 2007
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1170 SC
Family Medicine Physician 207Q00000X 34.010542 OH Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 5101016318 MI

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

625 Africa Rd Ste 220
Westerville, OH 43082
Phone (614) 882-2349

Other names 1

  • Miriam Lorraine Garcellano Other name

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
I20120926000291 OH Practitioner - Family Practice 1850451840 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians
Central Ohio Hospitalists, IncGroup PAC ID 7810985686, 194 clinicians

Practice addresses (Care Compare)

100 N Miller Dr
Sanbury, OH 43074-7646
Phone (740) 913-0132

1350 Yauger Rd
Mount Vernon, OH 43050-9233
Phone (740) 397-2350

1451 Gambier Rd
Mount Vernon, OH 43050-9112
Phone (740) 397-1706

230 Cherry St
Chillicothe, OH 45601-2301
Phone (740) 773-6470

3525 Olentangy River Rd
Suite 4330
Columbus, OH 43214-3937
Phone 61425569001122

3700 Olentangy River Rd
Columbus, OH 43214-3450
Phone (614) 457-1100

748 Taylor Rd
Gahanna, OH 43230-3766
Phone (614) 863-6384

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.010542OHMDFamily Medicine Physician
5101016318MIMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC CurrentSince Sep 17, 2024 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 1, 2019 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Ohiohealth Corporation Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Central Ohio Hospitalists, Inc CurrentSince Oct 18, 2024 Accepting new patients
Centerburg Pointe Healthcare Group, Inc. Past Accepting new patients
Whispering Hills Care Center LLC Past Accepting new patients
Oak Health Care Investors of Mt Vernon, Inc. Past Accepting new patients
Ohio Eastern Star Health Care Center, Inc. Past Accepting new patients
Mount Vernon Elderly Services LLC Past Accepting new patients
Canal Winchester Care Center, LLC Past Accepting new patients
Country Meadow Care Center LLC Past Accepting new patients

Locations

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

3525 Olentangy River Rd
Ste 4330
Columbus, OH 43214
Phone (614) 255-6930

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

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

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

Dept L3652
Columbus, OH 43260

2030 Stringtown Rd
Ste 300
Grove City, OH 43123
Phone (614) 544-0101

570 Polaris Pkwy
Ste 250
Westerville, OH 43082
Phone (614) 459-0216

625 Africa Rd
Ste 220
Westerville, OH 43082
Phone (614) 882-2349

Interoperability endpoints

  • Direct secure messaging: mgarcellano18864@copcp.medicity.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Laurels of Mt VernonMount Vernon, OH, CCN 365404 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Centerburg PointeCenterburg, OH, CCN 366299 Skilled nursing facility Adp of the SNF May 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

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 14

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1710107180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD STE 4330",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-255-6900",
            "fax_number": "614-255-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD STE 4330",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-255-6900",
            "fax_number": "614-255-6901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Africa Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "43082",
            "country_code": "US",
            "telephone_number": "614-882-2349",
            "fax_number": "614-882-9005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCELLANO",
        "first_name": "MIRIAM",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "1170",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.010542",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "5101016318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "GARCELLANO",
            "middle_name": "LORRAINE",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.