Individual provider Active NPI

Mbabndah Ndobegang Jr., APRN.CRNA

  • Certified Registered Nurse Anesthetist
  • Columbus, OH
National Provider Identifier
1922697234
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.0020270 Issued in OH
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

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210409002096 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254749310 Reassigns benefits to 6 organizations
I20250117002847 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254749310 Reassigns benefits to 1 organization

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
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians
Vituity-Ohio Anesthesia IncGroup PAC ID 1658896675, 28 clinicians

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 Hospital, Dublin, OH, CCN 360375
  • Twin County Regional Hospital Hospital, Galax, VA, CCN 490115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity-Ohio Anesthesia Inc CurrentSince Apr 22, 2025 Accepting new patients
Premier Anesthesia of Ohio LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 28, 2024 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 8, 2025 Accepting new patients
East Columbus Surgery Center LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Columbus Anesthesia Services LLC CurrentSince Jun 1, 2024 Accepting new patients
East Columbus Surgery Center LLC CurrentSince Feb 1, 2022 Accepting new patients
Radius Anesthesia of Ohio, LLC CurrentSince Nov 1, 2024 Accepting new patients
Midwest Physician Anesthesia Services, Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2021 Accepting new patients
Deperro Plastic Surgery, LLC PastSince Jan 17, 2021 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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.

Verify at the official NPI Registry.