Unknown Individual – Anesthesiology Physician, NPI 1558350835
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,268 ANESTHESIOLOGY in OH
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Provider Addresses for Unknown Individual
124, Dorchester Square, Westerville, Sharon, Franklin County, Ohio, 43081, United States
WESTERVILLE, OH 430817302
Phone: (614) 523-2211
Fax: (614) 523-2288
Type: Mailing
275, Taylor Station Road, Taylor Station, Columbus, Ohio, 43213, United States
COLUMBUS, OH 432131445
Phone: (614) 523-2211
Fax: (614) 523-2288
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 185 Open Payments records for all available years, with a total value of $3,033.
Total Amount is formed as General ($3,033) + Research ($0) + Ownership ($0) = $3,033.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($817).
Total Amount
$3,033
General + Research + Ownership
Payments
185
Total payment records
General Amount
$3,033
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041102001295 | I | Anesthesiology | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 198 | 198 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 108 | 106 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 72 | 72 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 68 | 68 | $0 |
Insurance plans in this area (ZIP 43081)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH |
Reviews
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