Individual provider Active NPI

Michael David Patterson, D.O.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Columbus, OH
National Provider Identifier
1891792248
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
34.006927 Issued in OH
Practice address
800 McConnell Rd
Columbus, OH 43214-3463
Phone
(614) 566-5377
Fax
(614) 533-6200
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 34006927P OH
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 34.006927 OH Primary

Addresses

Primary practice location

800 McConnell Rd
Columbus, OH 43214-3463

Mailing address

661 S Trimble Rd
Mansfield, OH 44906-3437
Phone (419) 774-0478

Other practice location 1

3525 Olentangy River Rd Ste 4330
Columbus, OH 43214-3937
Phone (614) 255-6900

Other identifiers 3

IdentifierTypeStateIssuer
2321697MedicaidOH
KI9260531OtherOHGROUP MEDICARE
0114549OtherOHGROUP MEDICAID

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
I20061129000175 OH Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Nephrology 7911905948 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care, Nephrology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Hospitalists, IncGroup PAC ID 7810985686, 194 clinicians

Practice addresses (Care Compare)

3525 Olentangy River Rd
Suite 4330
Columbus, OH 43214-3937
Phone 61425569001122

Hospital & facility affiliations

  • Pathways Hospice and Palliative Care Hospice, Berea, OH, CCN 361676
  • Galion Community Hospital Hospital, Galion, OH, CCN 361325
  • Ohiohealth Shelby Hospital Hospital, Shelby, OH, CCN 361324
  • Avita Ontario Hospital, Ontario, OH, CCN 360365
  • Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118
  • Mill Creek Nursing & Rehabilitation Nursing home, Galion, OH, CCN 366370
  • Crestline Rehabilitation and Nursing Center Nursing home, Crestline, OH, CCN 366002
  • Ohiohealth Shelby Hospital Nursing home, CCN 36Z324

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006927POHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC CurrentSince Nov 28, 2023 Accepting new patients
Central Ohio Hospitalists, Inc CurrentSince Jan 30, 2024 Accepting new patients
Ohiohealth Corporation Current Accepting new patients
Ohiohealth Corporation CurrentSince Feb 1, 2019 Accepting new patients
Ohiohealth Corporation CurrentSince Feb 1, 2019 Accepting new patients
Medcentral Professional Association Inc. Past Accepting new patients
Medcentral Professional Foundation, LLC PastSince Apr 1, 2008 Accepting new patients
Crestline Nursing Center LLC Past Accepting new patients
Galion Health Care Center, Inc. Past Accepting new patients

Locations

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

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

800 McConnell Dr
Columbus, OH 43214
Phone (614) 533-6297

3525 Olentangy River Rd
Ste 4330
Columbus, OH 43214
Phone (614) 255-6930

Dept L3652
Columbus, OH 43260

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mill Creek Nursing & RehabilitationGalion, OH, CCN 366370 Skilled nursing facility Adp of the SNF Jun 1, 2018
Crestline Rehabilitation and Nursing CenterCrestline, OH, CCN 366002 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Sep 18, 2017
Sep 18, 2017
Sep 18, 2017
Country Meadow Rehabilitation and Nursing CenterBellville, OH, CCN 366012 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Sep 18, 2017
Sep 18, 2017
Dec 3, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 9

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1891792248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 S TRIMBLE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063437",
            "telephone_number": "419-774-0478",
            "fax_number": "419-774-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MCCONNELL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143463",
            "telephone_number": "614-566-5377",
            "fax_number": "614-533-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3525 Olentangy River Rd Ste 4330",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432143937",
            "country_code": "US",
            "telephone_number": "614-255-6900",
            "fax_number": "614-255-6901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "34006927P",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "34.006927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2321697",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "KI9260531",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "0114549",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.