Individual provider Active NPI

Matia Mulumba, MD

  • Family Medicine Physician
  • Hilliard, OH
National Provider Identifier
1851324834
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.085097 Issued in OH
Practice address
5263 Nike Station Way
Hilliard, OH 43026-7449
Phone
(614) 876-2100
Fax
(614) 876-2120
NPI assigned
Jul 10, 2006
Last updated
Jan 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.085097 OH Primary

Addresses

Primary practice location

5263 Nike Station Way
Hilliard, OH 43026-7449

Mailing address

2990 Norton Rd
Grove City, OH 43123-8964
Phone (614) 878-8283

Other identifiers 1

IdentifierTypeStateIssuer
2580443MedicaidOH

Other names 1

  • Dr. Matia Mulumba Professional name

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dublin Urgent Care Inc Past Accepting new patients
Access Urgent Medical Care of Upper Arlington Inc Past Accepting new patients
Urgent Medical Care of Pickerington 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1851324834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 NORTON RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238964",
            "telephone_number": "614-878-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5263 NIKE STATION WAY",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267449",
            "telephone_number": "614-876-2100",
            "fax_number": "614-876-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULUMBA",
        "first_name": "MATIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.085097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2580443",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATIA",
            "last_name": "MULUMBA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hilliard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.