Nicholas T Peponis, DO

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

34-003536 Issued in OH

Practice address

3525 Olentangy River Rd
Ste 5360
Columbus, OH 43214-3937

Phone

(614) 340-7747

Fax

(614) 340-7742

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Diagnostic Radiology

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147
• Blanchard Valley Hospital Hospital, Findlay, OH, CCN 360095
• Knox Community Hospital Hospital, Mount Vernon, OH, CCN 360040
• Wilson Memorial Hospital Hospital, Sidney, OH, CCN 360013
• Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Riverside Radiology and Interventional Associates Inc

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1093718496
  Medicare reassignment Care Compare group NPD
• Central Ohio Primary Care Physicians, Inc.

  • Clinical Medical Laboratory
  • Westerville, OH
  • NPI 1639279045
  NPD (past)
• Crystal Clear Imaging, LLC

  • Diagnostic Radiology Physician
  • Springfield, OH
  • NPI 1346220662
  NPD (past)
• Dr TC Hobbs & Associates Inc

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1639184021
  NPD (past)
• Hocking Valley Imaging, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Logan, OH
  • NPI 1548269103
  NPD (past)
• North Central Ohio Radiology, LLC

  • Diagnostic Radiology Physician
  • Mount Gilead, OH
  • NPI 1326110206
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Blanchard Valley Regional Health Center

  dba Blanchard Valley Hospital

  • General Acute Care Hospital
  • Findlay, OH
  • NPI 1710920327
  Care Compare affiliation
• Knox Community Hospital

  • General Acute Care Hospital
  • Mount Vernon, OH
  • NPI 1295761963
  Care Compare affiliation
• Marietta Memorial Hospital

  • General Acute Care Hospital
  • Marietta, OH
  • NPI 1215936927
  Care Compare affiliation
• Medcentral Health System

  • General Acute Care Hospital
  • Mansfield, OH
  • NPI 1790837235
  Care Compare affiliation
• Medcentral Health System

  dba Mansfield Laboratory Services

  • Clinical Medical Laboratory
  • Mansfield, OH
  • NPI 1962888016

  Hospital

  Care Compare affiliation
• Shelby County Memorial Hospital Association Inc.

  dba Wilson Health

  • General Acute Care Hospital
  • Sidney, OH
  • NPI 1639174204
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1992716146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CAMPUS VIEW BLVD",
            "address_2": "STE 160",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354647",
            "telephone_number": "614-396-4750",
            "fax_number": "614-396-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD",
            "address_2": "STE 5360",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-340-7747",
            "fax_number": "614-340-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPONIS",
        "first_name": "NICHOLAS",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "OH",
            "license": "34-003536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0538878",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monique Lynne Peoples
• Olivia Peoples
• Victor Peoples
• Teresa Marie Pepera, P.T.
• Alaina Peponis, MD
• Tom George Peponis Jr., D.O.
• Brooke N Pepper, AT, PTA
• Jessica Paige Pepper, RN
• Tom H Pepper, MD
• Melissa Peppercorn, LPN

• Neuroradiology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Neuroradiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.