Individual provider Active NPI

David S Lahue, M.D.

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1861476327
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-04-8421 Issued in OH
Practice address
4825 Knightsbridge Blvd
Columbus, OH 43214-2352
Phone
(614) 451-9612
Fax
(614) 451-2009
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-04-8421 OH Primary

Addresses

Primary practice location

4825 Knightsbridge Blvd
Columbus, OH 43214-2352

Mailing address

4825 Knightsbridge Blvd
Columbus, OH 43214-2352
Phone (614) 451-9612

Other identifiers 1

IdentifierTypeStateIssuer
0615338MedicaidOH

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
I20040816000655 OH Practitioner - Internal Medicine 3072586387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Primary Care Physicians, Inc.Group PAC ID 2769383785, 487 clinicians

Practice addresses (Care Compare)

2489 Stelzer Rd
Suite 101
Columbus, OH 43219-4007
Phone (614) 473-1300

4825 Knightsbridge Blvd
Columbus, OH 43214-4325
Phone (614) 451-9612

4885 Olentangy River Rd
Columbus, OH 43214-1952
Phone (614) 326-5665

655 Africa Rd
Westerville, OH 43082-9808
Phone (614) 447-9495

660 Cooper Rd
Suite 800
Westerville, OH 43081-9235
Phone (614) 508-6556

738 W Coshocton St
Johnstown, OH 43031-9581
Phone (740) 212-1212

770 Jasonway Ave
Suite G2
Columbus, OH 43214-4333
Phone (614) 459-3687

90 E William St
Delaware, OH 43015-2149
Phone (740) 362-8686

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. Internal Medicine CurrentSince Dec 1, 2000 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Dec 1, 2000 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

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

4825 Knightsbridge Blvd
Columbus, OH 43214
Phone (614) 451-9612

3535 Fishinger Blvd
Ste 285
Hilliard, OH 43026
Phone (614) 527-2562

655 Africa Rd
Westerville, OH 43082

291 W Schrock Rd
Ste B
Westerville, OH 43081
Phone (614) 776-5750

Interoperability endpoints

  • Direct secure messaging: dlahue18954@copcp.medicity.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1861476327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 KNIGHTSBRIDGE BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142352",
            "telephone_number": "614-451-9612",
            "fax_number": "614-451-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 KNIGHTSBRIDGE BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142352",
            "telephone_number": "614-451-9612",
            "fax_number": "614-451-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHUE",
        "first_name": "DAVID",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-04-8421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0615338",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.