Individual provider Active NPI

Robert Theodore Woodruff, MD

  • Neurology Physician
  • Columbus, OH
National Provider Identifier
1831131879
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35.086470 Issued in OH
Practice address
5150 E. Dublin Granville Rd
Ste 250
Columbus, OH 43081-8701
Phone
(614) 533-5500
Fax
(614) 533-0103
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35.086470 OH Primary

Addresses

Primary practice location

5150 E. Dublin Granville Rd
Ste 250
Columbus, OH 43081-8701

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other identifiers 1

IdentifierTypeStateIssuer
2620364MedicaidOH

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address rwoodruff484679@direct.osumc.edu
Direct Messaging Address rwoodruff484679@direct.osumc.edu
Direct Messaging Address rwoodruff933491@direct.ohiohealth.com Direct OhioHealth Physician Group, Inc.

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
I20060125000307 OH Practitioner - Neurology 7719901032 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Ohio State University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

111 S Grant Ave
Columbus, OH 43215-4701
Phone (614) 566-8883

Hospital & facility affiliations

  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118
  • Knox Community Hospital Hospital, Mount Vernon, OH, CCN 360040
  • Grady Memorial Hospital Hospital, Delaware, OH, CCN 360210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.086470OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bucyrus Community Hospital LLC CurrentSince Feb 1, 2014 Accepting new patients
Bucyrus Community Hospital LLC CurrentSince Feb 1, 2014 Accepting new patients
Knox Community Hospital CurrentSince Mar 22, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 1, 2023 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 1, 2023 Accepting new patients
Galion Community Hospital CurrentSince Jun 22, 2014 Accepting new patients
Galion Community Hospital CurrentSince Jun 22, 2014 Accepting new patients
Knox Community Hospital CurrentSince Mar 22, 2021 Accepting new patients
Osu Neuroscience Center, LLC Neurology Past Accepting new patients
Mount Carmel Health Past Accepting new patients

Locations

629 N Sandusky Ave
Bucyrus, OH 44820
Phone (419) 562-4677

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

5150 E Dublin Granville Rd
Ste 250
Columbus, OH 43081
Phone (614) 788-9390

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

Dept L3652
Columbus, OH 43260

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

700 N Columbus St
Crestline, OH 44827
Phone (419) 462-3485

269 Portland Way S
Galion, OH 44833
Phone (419) 468-4841

1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019

1330 Coshocton Ave
Ste A
Mount Vernon, OH 43050
Phone (740) 326-3540

1330 Coshocton Ave
Fl 5
Mount Vernon, OH 43050
Phone (740) 393-9040

715 Richland Mall
Ontario, OH 44906
Phone (419) 462-4547

2981 W 4th St
Ontario, OH 44906
Phone (419) 468-0505

Organizations & group practices 10

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 7

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1831131879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 E. DUBLIN GRANVILLE RD",
            "address_2": "STE 250",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "430818701",
            "telephone_number": "614-533-5500",
            "fax_number": "614-533-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "ROBERT",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.086470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2620364",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwoodruff484679@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "269 Portland Way S",
            "city": "Galion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448332312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwoodruff484679@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "715 Richland Mall",
            "city": "Ontario",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449063802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwoodruff933491@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5150 E. Dublin Granville Rd",
            "address_2": "Ste 250",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430818701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.