Individual provider Active NPI

Geoffrey M Polen, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Westerville, OH
National Provider Identifier
1942268107
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
35074804P Issued in OH
Practice address
500 S Cleveland Ave
Westerville, OH 43081-8971
Phone
(740) 323-0272
Fax
(740) 323-1375
NPI assigned
May 3, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35074804P OH Primary

Addresses

Primary practice location

500 S Cleveland Ave
Westerville, OH 43081-8971

Mailing address

PO Box 73118
Cleveland, OH 44193-0002
Phone (800) 655-2656

Other identifiers 2

IdentifierTypeStateIssuer
000000291153OtherOHANTHEM BCBS
2135353MedicaidOH

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
I20040202000417 OH Practitioner - Internal Medicine 0042113342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
JC Edwards School of Medicine, Marshall University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Valley Physicians IncGroup PAC ID 8729032966, 130 clinicians

Practice addresses (Care Compare)

1341 Clark St
Cambridge, OH 43725-9614
Phone (740) 439-8900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35074804POHMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Physicians Inc CurrentSince May 1, 2020 Accepting new patients
Ohio Valley Physicians Inc CurrentSince May 1, 2020 Accepting new patients
Southeastern Ohio Regional Medical Center Inc Past Accepting new patients
Hospitalist Associates Critical Care Medicine PastSince May 15, 2003 Accepting new patients

Locations

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

1341 Clark St
Ste 1
Cambridge, OH 43725

936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1942268107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73118",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930002",
            "telephone_number": "800-655-2656",
            "fax_number": "412-822-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S CLEVELAND AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818971",
            "telephone_number": "740-323-0272",
            "fax_number": "740-323-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLEN",
        "first_name": "GEOFFREY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35074804P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000291153",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2135353",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.