Individual provider Active NPI

John Frank Vitullo II, M.D.

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1982870804
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35092579 Issued in OH
Practice address
1171 Fairway Blvd
Columbus, OH 43213-2522
Phone
(614) 861-7051
Fax
(614) 861-0614
NPI assigned
Apr 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35092579 OH Primary

Addresses

Primary practice location

1171 Fairway Blvd
Columbus, OH 43213-2522

Mailing address

1171 Fairway Blvd
Columbus, OH 43213-2522
Phone (614) 861-7051

Other identifiers 1

IdentifierTypeStateIssuer
3075005MedicaidOH

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
I20101018000565 OH Practitioner - Family Practice 4082807540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Primary Care Physicians, Inc.Group PAC ID 2769383785, 487 clinicians

Practice addresses (Care Compare)

4885 Olentangy River Rd
Columbus, OH 43214-1952
Phone (614) 326-5665

4885 Olentangy River Rd
Columbus, OH 43214-1993

625 Africa Rd
Westerville, OH 43082-0002

655 Africa Rd
Westerville, OH 43082-9808
Phone (614) 447-9495

8050 E Main St
Suite 1200
Reynoldsburg, OH 43068-2575
Phone (614) 259-0923

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jun 30, 2013 Accepting new patients
Ohiohealth Corporation Family Medicine Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. Family Medicine CurrentSince Jun 29, 2018 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 30, 2013 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Jun 29, 2018 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

Dept L3652
Columbus, OH 43260

1171 Fairway Blvd
Columbus, OH 43213
Phone (614) 861-7051

1120 Polaris Pkwy
Ste 100
Columbus, OH 43240
Phone (614) 459-0974

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: jvitullo18741@copcp.medicity.net

Organizations & group practices 6

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": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1982870804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 FAIRWAY BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132522",
            "telephone_number": "614-861-7051",
            "fax_number": "614-861-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 FAIRWAY BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132522",
            "telephone_number": "614-861-7051",
            "fax_number": "614-861-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITULLO",
        "first_name": "JOHN",
        "middle_name": "FRANK",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35092579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075005",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.