PrimaryOne Health – Federally Qualified Health Center (FQHC), NPI 1669535373

PrimaryOne Health is a healthcare provider. based in Columbus, Ohio. specializing in Federally Qualified Health Center (FQHC). The NPI Number for PrimaryOne Health is 1669535373

Main info

Organization
Name
PrimaryOne Health
NPI
1669535373
Phone
(614) 645-5500
Address
2780 AIRPORT DR STE 100
Authorized Official
NICHOLE GOMEZ OTAYCO CHIEF OPERATING OFFICER
Enumeration Date
18 December 2006
Last Update Date
30 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness90
Years active:19State licenses:0Digital endpoints

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Provider Addresses for PrimaryOne Health

  • Airport Drive, Shepard, Columbus, Franklin, Ohio, 43129, United States

    COLUMBUS, OH 432192289

    Phone: (614) 645-5500

    Fax: (614) 645-5517

    Type: Mailing

  • Columbus Public Health, 240, Parsons Avenue, Jefferson Avenue Historic District, Columbus, Franklin, Ohio, 43205, United States

    COLUMBUS, OH 43215

    Phone: (614) 645-7487

    Fax: (614) 645-7080

    Type: Location

  • 240 PARSONS AVE STE 233

    COLUMBUS, OH 432155331

    Phone: (614) 645-7487

    Fax: (614) 645-7080

    Type: Location

  • 3433 AGLER RD STE 2800

    COLUMBUS, OH 432193389

    Phone: (614) 859-1906

    Fax: (614) 458-1849

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-04-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-08-31 (652 days ago).

Enrollment records

1

Earliest due date

2024-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20190423002945OFederally Qualified Health Center (Fqhc)OH2024-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43219)

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Reviews

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Frequently asked questions

Does PrimaryOne Health have a public NPI I can cite?
Public records show PrimaryOne Health under NPI 1669535373.
Is PrimaryOne Health currently accepting referrals based on NPI status?
Registry metadata lists PrimaryOne Health as active.
What does the directory say PrimaryOne Health does?
Insurance directories may phrase it differently, but here PrimaryOne Health maps to Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Can patients visit PrimaryOne Health in Columbus, Ohio?
For routing, start with Columbus, Ohio for PrimaryOne Health, then verify phone and hours locally.
Can I export PrimaryOne Health's record?
You can download the official NPPES record; we summarize key fields for readability.

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