Individual provider Active NPI

Geno Kordic

  • Student in an Organized Health Care Education/Training Program
  • Columbus, OH
National Provider Identifier
1780048538
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
3595 Olentangy River Rd
Columbus, OH 43214-3440
Phone
(614) 566-5456
Fax
(614) 566-6902
NPI assigned
Apr 7, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

3595 Olentangy River Rd
Columbus, OH 43214-3440

Mailing address

3595 Olentangy River Rd
Columbus, OH 43214-3440
Phone (614) 566-5456

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
I20190325001830 OH Practitioner - HospitalistPractitioner - Internal Medicine 2961793708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Northeastern Ohio University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

111 S Grant Ave
Columbus, OH 43215-4701
Phone (614) 566-9489

Hospital & facility affiliations

  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348
  • Doctors Hospital Hospital, Columbus, OH, CCN 360152
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017

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

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 Jan 12, 2019 Accepting new patients
Ohiohealth Corporation Current Accepting new patients
Ohiohealth Corporation CurrentSince Jun 1, 2019 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 1, 2019 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Jan 12, 2019 Accepting new patients
Ohiohealth Corporation Past Accepting new patients
Ohiohealth Corporation Past Accepting new patients

Locations

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

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

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

3595 Olentangy River Rd
Columbus, OH 43214
Phone (614) 556-5456

Dept L3652
Columbus, OH 43260

655 Africa Rd
Westerville, OH 43082

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 3

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1780048538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143440",
            "telephone_number": "614-566-5456",
            "fax_number": "614-566-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143440",
            "telephone_number": "614-566-5456",
            "fax_number": "614-566-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORDIC",
        "first_name": "GENO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.