Individual provider Active NPI

Anjana Samadder, MD

  • Gastroenterology Physician
  • Columbus, OH
National Provider Identifier
1811053309
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35071330S Issued in OH
Practice address
99 N Brice Rd
Suite 100
Columbus, OH 43213-6510
Phone
(614) 575-2600
Fax
(614) 575-2602
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35071330S OH Primary

Addresses

Primary practice location

99 N Brice Rd
Suite 100
Columbus, OH 43213-6510

Mailing address

99 N Brice Rd
Suite 100
Columbus, OH 43213-6510
Phone (614) 575-2600

Other identifiers 1

IdentifierTypeStateIssuer
4050804MedicaidOH

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
I20080130000365 OH Practitioner - GastroenterologyPractitioner - Internal Medicine 9234109125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

99 N Brice Rd
Suite 100
Columbus, OH 43213-6517
Phone (614) 575-2600

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy22
Upper gastrointestinal (GI) endoscopy for acid reflux22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35071330SOHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anjana Samadder MD Inc Gastroenterology CurrentSince Sep 1, 2002 Accepting new patients
Central Ohio Gastroenterology Associates,LLC Current Accepting new patients
Osu Internal Medicine, LLC Past Accepting new patients
Osu Internal Medicine, LLC Gastroenterology Past Accepting new patients

Locations

99 N Brice Rd
Ste 100
Columbus, OH 43213
Phone (614) 575-2600

1960 Tamarack Rd
Ste D
Newark, OH 43055
Phone (740) 344-8687

495 Cooper Rd
Ste 312
Westerville, OH 43081
Phone (614) 257-3725

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 2

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249862400000",
    "number": "1811053309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 N BRICE RD",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432136510",
            "telephone_number": "614-575-2600",
            "fax_number": "614-575-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N BRICE RD",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432136510",
            "telephone_number": "614-575-2600",
            "fax_number": "614-575-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMADDER",
        "first_name": "ANJANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2009-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35071330S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4050804",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.