Meredith Nicole Mucha, MD
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Columbus, OH
NPI 1962449777 · NPPES record last updated Apr 23, 2018
Key facts
- NPI
- 1962449777
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- 35086401 (OH)
- Practice address
- 393 E Town St Ste 116
Columbus, OH 43215-4799 - Phone
- (614) 566-9108
- Fax
- (614) 566-8737
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Medicare Care Compare profile
- Specialty
- Hospice/Palliative Care
- Education
- Wright State University Boonshoft School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osh-Oh Physicians Group PC
Practice addresses (Care Compare)
10553 Saint Clair Ave
Cleveland, OH 44108-1973
Phone (216) 682-7702
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051102001102 | OH | Practitioner - Hospice/Palliative Care |
6204854862 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35086401 | OH | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh-Oh Physicians Group PC | Internal Medicine | Current |
Accepting new patients |
| Lower Lights Christian Health Center, Inc | Current | Accepting new patients | |
| Lower Lights Christian Health Center Inc | Current |
Accepting new patients | |
| Lower Lights Christian Health Center, Inc. | Current |
Accepting new patients | |
| Muskingum Valley Health Centers | Current |
Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Lower Lights Christian Health Center Inc | Current | Accepting new patients | |
| Muskingum Valley Health Centers | Current | Accepting new patients | |
| Lower Lights Christian Health Center, Inc | Current | Accepting new patients | |
| Muskingum Valley Health Centers | Current |
Accepting new patients | |
| Ohiohealth Corporation | Current |
Accepting new patients | |
| Lower Lights Christian Health Center Inc | Current | Accepting new patients | |
| Family Health Services of Darke County, Inc. | Current |
Accepting new patients | |
| Lower Lights Christian Health Center, Inc. | Current | Accepting new patients | |
| Ohiohealth Corporation | Internal Medicine | Current |
Accepting new patients |
| Family Health Services of Darke County Inc | Current |
Accepting new patients | |
| Lower Lights Christian Health Center, Inc | Current | Accepting new patients | |
| Hospice of Central Ohio | Past | Accepting new patients | |
| Muskingum Valley Health Centers | Past | Accepting new patients | |
| Central Ohio Geriatrics LLC | Geriatric Medicine | Past |
Accepting new patients |
Locations (25 of 28)
702 N Main St
Arcanum, OH 45304
Phone (937) 548-1141
1330 Clark St
Cambridge, OH 43725
Phone (740) 421-9530
316 Clark St
Cambridge, OH 43725
Phone (740) 432-7600
10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702
777 W State St
Ste 201
Columbus, OH 43222
Phone 6142741455313
Dept L3652
Columbus, OH 43260
2020 Eakin Rd
Ste 100
Columbus, OH 43223
Phone (614) 300-9001
3830 Olentangy River Rd
Columbus, OH 43214
Phone (614) 538-6845
1160 W Broad St
Columbus, OH 43222
Phone (614) 947-7615
L3957
Columbus, OH 43260
290 E Town St
Columbus, OH 43215
Phone (614) 788-5400
1560 S High St
Columbus, OH 43207
Phone 61427414556220
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
406 S 15th St
Coshocton, OH 43812
Phone (740) 295-3331
450 Downtowner Plz
Coshocton, OH 43812
Phone (740) 487-3110
1205 Cambridge Rd
#100
Coshocton, OH 43812
Phone (740) 622-9433
440 Browns Ln
Coshocton, OH 43812
Phone (740) 295-3331
5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161
5735 Meeker Rd
Greenville, OH 45331
Phone (937) 548-3806
859 N Main St
Malta, OH 43758
Phone (740) 962-6111
101 Anderson St
New Madison, OH 45346
Phone (937) 996-0023
10484 Kley Rd
Versailles, OH 45380
Phone (937) 526-3016
500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000
6000 Cooper Rd
Westerville, OH 43081
Phone (614) 259-5361
33 S 5th St
Zanesville, OH 43701
Phone (407) 891-9000
Interoperability endpoints
- meredith.mucha@454146644180996.direct.elationemr.com
- mmucha1147946@direct.trinity-health.org
- mmucha323957@direct.metrohealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35086401 | OH | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 35.086401 | OH | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 35086401 | OH | Yes |
Addresses
Primary practice location
393 E Town St Ste 116
Columbus, OH 43215-4799
Mailing address
5400 Frantz Rd Ste 250
Dublin, OH 43016-6102
Phone (614) 533-6497
Other practice location 1
3830 Olentangy River Rd
Columbus, OH 43214-5404
Phone (614) 566-5858
Other practice location 2
290 E Town St
Columbus, OH 43215-4602
Phone (614) 566-9041
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00270644 | Other | OH | RAILROAD MEDICARE PIN |
| P01927694 | Other | RAILROAD MEDICARE | |
| 2608691 | Medicaid | OH | |
| H113543 | Other | OH | MEDICARE |
Other providers in Columbus, OH
- MSK Solution LLC
- Msunset Enterprises LLC
- Batool Mubarak
- Dina Mubarak
- Meredith Dawn Mucha
- Chido Tatenda Muchemwa
- Peter Muchene Sr.
- Jack Mucher
- Alexa Nacilynn Muck
- Brittany Marie Muckerman
All providers in Columbus, OH · Geriatric Medicine (Internal Medicine) Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.