NPIMap

Individual provider Active NPI

Magdalena Teodorescu, M.D.

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1750674693
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.122682 Issued in OH
Practice address
1171 Fairway Blvd
Columbus, OH 43213-2522
Phone
(614) 861-7051
Fax
(614) 861-0614
NPI assigned
May 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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 35.122682 OH Primary

Addresses

Primary practice location

1171 Fairway Blvd
Columbus, OH 43213-2522

Mailing address

1171 Fairway Blvd
Columbus, OH 43213-2522
Phone (614) 861-7051

Other identifiers 1

IdentifierTypeStateIssuer
0096372MedicaidOH

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
I20140227001200 OH Practitioner - Family Practice 8628216280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

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

1171 Fairway Blvd
Columbus, OH 43213-2522
Phone (614) 861-7051

4885 Olentangy River Rd
Columbus, OH 43214-1952
Phone (614) 326-5665

4885 Olentangy River Rd
Columbus, OH 43214-1953

4895 Olentangy River Rd
Columbus, OH 43214-1185

625 Africa Rd
Westerville, OH 43082-0002

655 Africa Rd
Westerville, OH 43082-9808
Phone (614) 447-9495

8050 E Main St
Suite 1200
Reynoldsburg, OH 43068-2575
Phone (614) 259-0923

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Jun 30, 2014 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. Family Medicine CurrentSince Jun 30, 2014 Accepting new patients

Locations

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

1171 Fairway Blvd
Columbus, OH 43213
Phone (614) 861-7051

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: mteodorescu18803@copcp.medicity.net

Organizations & group practices 4

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 9

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": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1750674693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 FAIRWAY BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132522",
            "telephone_number": "614-861-7051",
            "fax_number": "614-861-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 FAIRWAY BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132522",
            "telephone_number": "614-861-7051",
            "fax_number": "614-861-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEODORESCU",
        "first_name": "MAGDALENA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.122682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096372",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.