Active NPI
Mbabndah Ndobegang Jr., APRN.CRNA
- Certified Registered Nurse Anesthetist
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN.CRNA.0020270
- Practice address
- 410 W 10TH Ave
Columbus, OH 43210-1240 - Phone
- (614) 293-8487
- Fax
- (614) 293-8153
- NPI assigned
- Jan 12, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.0020270 | OH | Primary |
Addresses
Primary practice location
410 W 10TH Ave
Columbus, OH 43210-1240
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-8487
Other practice location 1
3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-4919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Hospital Dr
Galax, VA 24333-2227
Phone (276) 236-1659
4105 Emerald Pkwy
Dublin, OH 43016-3323
Phone (380) 898-9000
Hospital & facility affiliations
- Mount Carmel Dublin
- Twin County Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vituity-Ohio Anesthesia Inc | Current | Accepting new patients | |
| Premier Anesthesia of Ohio LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| East Columbus Surgery Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Columbus Anesthesia Services LLC | Current | Accepting new patients | |
| East Columbus Surgery Center LLC | Current | Accepting new patients | |
| Radius Anesthesia of Ohio, LLC | Current | Accepting new patients | |
| Midwest Physician Anesthesia Services, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Deperro Plastic Surgery, LLC | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
275 Taylor Station Rd
Columbus, OH 43213
Phone (614) 566-9983
5151 Reed Rd
Ste 225C
Columbus, OH 43220
Phone (614) 457-2306
175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902
50 McNaughten Rd
Ste 102
Columbus, OH 43213
Phone (614) 864-0641
100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902
6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420
3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997
793 W State St
Columbus, OH 43222
Phone (614) 234-1862
7500 Hospital Dr
Dublin, OH 43016
Phone (614) 544-8000
5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242
4606 Sawmill Rd
Upper Arlington, OH 43220
Phone (614) 488-7607
200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011
6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Dublin, OH
- NPI 1912705963
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, VA
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1801461025
-
- Ambulatory Surgical Clinic/Center
- Columbus, OH
- NPI 1619114824
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1598703951
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Grove City, OH
- NPI 1699196022
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1427416585
-
- Clinic/Center
- Columbus, OH
- NPI 1295708246
-
- Plastic Surgery Physician
- Columbus, OH
- NPI 1134573496
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dublin, OH
- NPI 1710752183
-
- General Acute Care Hospital
- Galax, VA
- NPI 1114292141
-
- Physical Therapy Clinic/Center
- Galax, VA
- NPI 1801161369
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1922697234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 2120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-293-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W 10TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101240",
"telephone_number": "614-293-8487",
"fax_number": "614-293-8153"
}
],
"practiceLocations": [
{
"address_1": "3535 Olentangy River Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432143908",
"country_code": "US",
"telephone_number": "614-566-4919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NDOBEGANG",
"first_name": "MBABNDAH",
"name_suffix": "Jr.",
"credential": "APRN.CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-12",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.0020270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.