Active NPI
Jennifer Beck Carlos, MD
- Pediatric Adolescent Medicine Physician
- Columbus, OH
National Provider Identifier
1790744480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 35067033
- Practice address
- 1830 Bethel Rd
Suite C
Columbus, OH 43220-1809 - Phone
- (614) 326-1600
- Fax
- (614) 326-3600
- NPI assigned
- Mar 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 35067033 | OH | Primary |
Addresses
Primary practice location
1830 Bethel Rd
Suite C
Columbus, OH 43220-1809
Mailing address
1830 Bethel Rd
Suite C
Columbus, OH 43220-1809
Phone (614) 326-1600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1201480 | Other | OH | UNITED HEALTHCARE |
| 000000121077 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35067033 | OH | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Pediatric Alliance, LLC | Past | Accepting new patients | |
| Pediatric & Adolescent Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Hilliard, OH
- NPI 1780566885
-
- Pediatrics Physician
- Columbus, OH
- NPI 1598887713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790744480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 BETHEL RD",
"address_2": "SUITE C",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432201809",
"telephone_number": "614-326-1600",
"fax_number": "614-326-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 BETHEL RD",
"address_2": "SUITE C",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432201809",
"telephone_number": "614-326-1600",
"fax_number": "614-326-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLOS",
"first_name": "JENNIFER",
"middle_name": "BECK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "OH",
"license": "35067033",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1201480",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000121077",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.