Individual provider Active NPI

Blayre R Tuggle, M.D.

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1891756540
Registry record updated Aug 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-054271 Issued in OH
Practice address
5175 E Main St
Columbus, OH 43213-2425
Phone
(614) 575-1200
Fax
(614) 575-9405
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 35054271T OH
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 35054271T OH
Internal Medicine Physician 207R00000X 35-054271 OH Primary

Addresses

Primary practice location

5175 E Main St
Columbus, OH 43213-2425

Mailing address

PO Box 789
North Olmsted, OH 44070-0789
Phone (440) 777-6017

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
I20041027000041 OH Practitioner - Internal MedicinePractitioner - Family Practice 3971565565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Addiction Angels of America LLCGroup PAC ID 8628354198, 3 clinicians

Practice addresses (Care Compare)

1525 Bethel Rd
Columbus, OH 43220-2054
Phone (614) 396-7850

4889 Sinclair Rd
Suite 111
Columbus, OH 43229-5433
Phone (614) 396-7850

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-054271OHMDInternal Medicine Physician
35054271TOHMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Angels of America, LLC Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
US Healthworks Medical Group Past Accepting new patients
Access Medical Group LLC Internal Medicine Past Accepting new patients
U.S. Healthworks Medical Group of Ohio, Inc, Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Meritra Physicians LLC Past Accepting new patients
Addiction Angels of America, LLC Past Accepting new patients

Locations

1525 Bethel Rd
Columbus, OH 43220
Phone (614) 396-7850

4889 Sinclair Rd
Ste 111
Columbus, OH 43229
Phone (614) 396-7850

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502582400000",
    "number": "1891756540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440700789",
            "telephone_number": "440-777-6017",
            "fax_number": "440-777-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132425",
            "telephone_number": "614-575-1200",
            "fax_number": "614-575-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUGGLE",
        "first_name": "BLAYRE",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2017-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35054271T",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "OH",
            "license": "35054271T",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-054271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.