Individual provider Active NPI

Samuel O Makanjuola, DPM

  • Primary Podiatric Medicine Podiatrist
  • Columbus, OH
National Provider Identifier
1962089904
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
36.004138 Issued in OH
Practice address
3100 Plaza Properties Blvd Ste 340
Columbus, OH 43219-1530
Phone
(614) 219-9727
Fax
(380) 444-3384
NPI assigned
Mar 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36.004138 OH
Primary Podiatric Medicine Podiatrist 213EP1101X 36.004138 OH Primary

Addresses

Primary practice location

3100 Plaza Properties Blvd Ste 340
Columbus, OH 43219-1530

Mailing address

3100 Plaza Properties Blvd Ste 340
Columbus, OH 43219-1530
Phone (614) 219-9727

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319002720 OH Practitioner - Podiatry 9739601725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3100 Plaza Properties Blvd
Suite 340
Columbus, OH 43219-1530
Phone (614) 219-9727

Hospital & facility affiliations

  • Grant Medical Center Hospital, Columbus, OH, CCN 360017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.004138OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Am Physicians LLC Foot & Ankle Surgery CurrentSince Feb 1, 2025 Accepting new patients

Locations

3100 Plaza Properties Blvd
Ste 340
Columbus, OH 43219
Phone (614) 218-9987

Organizations & group practices 1

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 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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1962089904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 PLAZA PROPERTIES BLVD STE 340",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191530",
            "telephone_number": "614-219-9727",
            "fax_number": "380-444-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PLAZA PROPERTIES BLVD STE 340",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191530",
            "telephone_number": "614-219-9727",
            "fax_number": "380-444-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKANJUOLA",
        "first_name": "SAMUEL",
        "middle_name": "O",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.004138",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OH",
            "license": "36.004138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.