Active NPI
Mid-Ohio Medical Specialists, Inc.
- Internal Medicine Physician
- Columbus, OH
National Provider Identifier
1982818381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35047929
- Legal business name
- MID-OHIO MEDICAL SPECIALISTS, INC.
- Practice address
- 949 E Livingston Ave
Columbus, OH 43205-2748 - Phone
- (614) 445-7209
- Fax
- (614) 656-7068
- NPI assigned
- May 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nayyar Fatima Shareef, MD
- Title
- Vice-President
- Phone
- (614) 445-7209
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35067934 | OH | |
| Internal Medicine Physician | 207R00000X | 35047929 | OH | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35047929 | OH | |
| Pulmonary Disease Physician | 207RP1001X | 35047929 | OH |
Addresses
Primary practice location
949 E Livingston Ave
Columbus, OH 43205-2748
Mailing address
949 E Livingston Ave
Columbus, OH 43205-2748
Phone (614) 445-7209
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0170550 | Medicaid | OH | |
| 0764098 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
36 Lehman Dr
Ste 1006
Canal Wnchstr, OH 43110
147 Lewis Ave 4
Circleville, OH 43113
Phone (740) 477-1090
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734393600000",
"number": "1982818381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "949 E LIVINGSTON AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052748",
"telephone_number": "614-445-7209",
"fax_number": "937-599-7035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "949 E LIVINGSTON AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052748",
"telephone_number": "614-445-7209",
"fax_number": "614-656-7068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-OHIO MEDICAL SPECIALISTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A",
"authorized_official_last_name": "SHAREEF",
"authorized_official_first_name": "NAYYAR",
"authorized_official_middle_name": "FATIMA",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "614-445-7209",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OH",
"license": "35067934",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OH",
"license": "35047929",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "OH",
"license": "35047929",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OH",
"license": "35047929",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0170550",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0764098",
"state": "OH"
}
],
"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 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.