Individual provider Active NPI

Primrose A Sedmak, MD

  • Internal Medicine Physician
  • Cublin, OH
National Provider Identifier
1770547374
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35062393 Issued in OH
Practice address
3900 Stoneridge Lane
Cublin, OH 43017
Phone
(614) 293-0080
Fax
(614) 798-7963
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35062393 OH Primary

Addresses

Primary practice location

3900 Stoneridge Lane
Cublin, OH 43017

Mailing address

660 Ackerman 3Rd Floor
PO Box 183103
Columbus, OH 43218-3108
Phone (614) 293-2150

Other identifiers 1

IdentifierTypeStateIssuer
0882246MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150505001457 OH Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2769442672

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35062393OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Davidson Road Primary Care, Inc PastSince Dec 16, 2010 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Osu Electrophysiology Physicians Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770547374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 ACKERMAN 3RD FLOOR",
            "address_2": "PO BOX 183103",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432183108",
            "telephone_number": "614-293-2150",
            "fax_number": "614-293-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 STONERIDGE LANE",
            "city": "CUBLIN",
            "state": "OH",
            "postal_code": "43017",
            "telephone_number": "614-293-0080",
            "fax_number": "614-798-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDMAK",
        "first_name": "PRIMROSE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35062393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0882246",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.