Individual provider Active NPI

Arlene M Fedorchak, MD

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1891998340
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.059885 Issued in OH
Practice address
4825 Knightsbridge Blvd
Columbus, OH 43214-4325
Phone
(614) 451-9612
Fax
(614) 451-2009
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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 35.059885 OH Primary

Addresses

Primary practice location

4825 Knightsbridge Blvd
Columbus, OH 43214-4325

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0786636MedicaidOH

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
I20080314000066 OH Practitioner - Internal Medicine 8820173859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Ohio Primary Care Physicians, Inc.Group PAC ID 2769383785, 487 clinicians

Practice addresses (Care Compare)

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

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

4885 Olentangy River Rd
Columbus, OH 43214-1953

4885 Olentangy River Rd
Columbus, OH 43214-1993

4895 Olentangy River Rd
Columbus, OH 43214-1185

625 Africa Rd
Westerville, OH 43082-0002

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

8050 E Main St
Suite 1200
Reynoldsburg, OH 43068-2575
Phone (614) 259-0923

Hospital & facility affiliations

  • Ohiohealth Home Health With Compassus Home health agency, Dublin, OH, CCN 367615
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • Doctors Hospital Hospital, Columbus, OH, CCN 360152
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.059885OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. Internal Medicine CurrentSince Jan 1, 1999 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Jan 1, 1999 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Radiology Inc Past Accepting new patients

Locations

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

6096 E Main St
Ste 112
Columbus, OH 43213
Phone (614) 755-3000

4605 Sawmill Rd
Ste 102
Columbus, OH 43220
Phone (614) 326-1502

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

291 W Schrock Rd
Westerville, OH 43081
Phone (614) 901-2273

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

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: afedorchak19043@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.

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1891998340",
    "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": "432144325",
            "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": "432144325",
            "telephone_number": "614-451-9612",
            "fax_number": "614-451-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDORCHAK",
        "first_name": "ARLENE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.059885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0786636",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.