Individual provider Active NPI

Natalia Pushkin, M.D.

  • Internal Medicine Physician
  • Westerville, OH
National Provider Identifier
1861488876
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-06-7759 Issued in OH
Practice address
625 Africa Rd Ste 240
Westerville, OH 43082-9808
Phone
(614) 508-2672
Fax
(614) 508-2668
NPI assigned
Sep 26, 2005
Last updated
Oct 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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 35-06-7759 OH Primary

Addresses

Primary practice location

625 Africa Rd Ste 240
Westerville, OH 43082-9808

Mailing address

625 Africa Rd Ste 240
Westerville, OH 43082-9808
Phone (614) 508-2672

Other identifiers 1

IdentifierTypeStateIssuer
0136150MedicaidOH

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
I20091221000247 OH Practitioner - Internal Medicine 8820098254 Reassigns benefits to 1 organization

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 Jun 10, 2002 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Jun 10, 2002 Accepting new patients

Locations

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

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

570 Polaris Pkwy
Ste 250
Westerville, OH 43082
Phone (614) 459-0216

625 Africa Rd
Ste 240
Westerville, OH 43082
Phone (614) 508-2672

631 Copeland Mill Rd
Ste A
Westerville, OH 43081
Phone (614) 508-2672

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, 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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1861488876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 AFRICA RD STE 240",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829808",
            "telephone_number": "614-508-2672",
            "fax_number": "614-508-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 AFRICA RD STE 240",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829808",
            "telephone_number": "614-508-2672",
            "fax_number": "614-508-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSHKIN",
        "first_name": "NATALIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-06-7759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136150",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.