NPIMap

Individual provider Active NPI

Nicholas J Davakis, MD

  • Cardiovascular Disease Physician
  • Gahanna, OH
National Provider Identifier
1730120205
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35048488D Issued in OH
Practice address
765 N Hamilton Rd
Suite 120
Gahanna, OH 43230-8703
Phone
(614) 337-9800
Fax
(614) 337-9591
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35048488D OH Primary

Addresses

Primary practice location

765 N Hamilton Rd
Suite 120
Gahanna, OH 43230-8703

Mailing address

765 N Hamilton Rd
Suite 120
Gahanna, OH 43230-8703
Phone (614) 337-9800

Other identifiers 1

IdentifierTypeStateIssuer
0635183MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ndavakis13724@direct.ohiohealth.com OhioHealth Physician Group

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
I20091020000003 OH Practitioner - Cardiovascular Disease (Cardiology) 1951394931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Ohio State University College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

765 N Hamilton Rd
Suite 120
Gahanna, OH 43230-8707
Phone (614) 533-5000

Hospital & facility affiliations

  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Grady Memorial Hospital Hospital, Delaware, OH, CCN 360210
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118
  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35048488DOHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital CurrentSince Oct 24, 2010 Accepting new patients
Ohiohealth Corporation CurrentSince Nov 1, 2009 Accepting new patients
Ohiohealth Corporation Cardiovascular Disease CurrentSince Nov 1, 2009 Accepting new patients
Corpath LTD Current Accepting new patients
Heartcare, Inc. Cardiovascular Disease Past Accepting new patients
Professional Readers Group, Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

45 Amberwood Pkwy
Ashland, OH 44805
Phone (419) 281-3668

Dept L3652
Columbus, OH 43260

L3652
Columbus, OH 43260

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

561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983

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

765 N Hamilton Rd
Ste 260
Gahanna, OH 43230
Phone (614) 469-7621

765 N Hamilton Rd
Ste 120
Gahanna, OH 43230

6024 Hoover Rd
Ste G
Grove City, OH 43123
Phone (614) 324-9090

1325 Stringtown Rd
Ste 240
Grove City, OH 43123
Phone (614) 788-0130

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

Organizations & group practices 7

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1730120205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 N HAMILTON RD",
            "address_2": "SUITE 120",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432308703",
            "telephone_number": "614-337-9800",
            "fax_number": "614-324-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 N HAMILTON RD",
            "address_2": "SUITE 120",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432308703",
            "telephone_number": "614-337-9800",
            "fax_number": "614-337-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVAKIS",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35048488D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0635183",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ndavakis13724@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "765 N Hamilton Rd",
            "address_2": "Ste 120",
            "city": "Gahanna",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432308703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.