THEODROS MAMO MD, PHD
NPI 1285196097
Pathology - Blood Banking & Transfusion Medicine in Columbus, OH

Q: What is Theodros Mamo's NPI number?

The NPI number for Theodros Mamo is 1285196097. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Q: What is Theodros Mamo's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Blood Banking & Transfusion Medicine, with taxonomy code 207ZB0001X.

Q: When was this NPI record last updated?

The NPPES record for Theodros Mamo was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment

500 THOMAS LN STE 3A, COLUMBUS, OH 43214(614) 566-2500(614) 533-0335 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 26, 2025, Apr 3, 2023, Jun 30, 2021 and 1 more (4 updates tracked since 2019).

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About Theodros Mamo Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODROS MAMO MD, PHD (NPI 1285196097) is an individual blood banking & transfusion medicine provider in Columbus, Ohio, licensed in Ohio (35.154099) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Mayo Medical School (2019).

NPPES Registry Identity

NPI1285196097

Entity TypeIndividualMale

Primary Taxonomy207ZB0001X

Provider Legal NameTHEODROS MAMOCredential: MD, PHD

Location Address500 THOMAS LN STE 3AColumbus, OH 43214-1419

Mailing AddressPo Box 7527Dublin, OH 43017-0727

Phone(614) 566-2500

Fax(614) 533-0335

Sole ProprietorNo

Medical School CMSMayo Medical SchoolGraduated 2019

Enumeration DateApril 1, 2019

Last NPPES UpdateJuly 30, 20254 updates tracked since enumeration

NPPES CertifiedJuly 30, 2025

✔ NPI 1285196097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · Blood Banking & Transfusion MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207ZB0001X

License✔ Licensed in OH · 35.154099

Definition

A physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility testing and antibody testing assure that blood transfusions, when indicated, are as safe as possible. This physician directs the preparation and safe use of specially prepared blood components, including red blood cells, white blood cells, platelets and plasma constituents, and marrow or stem cells for transplantation.

Also ListedPathology · Clinical PathologyTaxonomy 207ZC0006X · License 35.154099 (OH)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

500 THOMAS LN STE 3A, Columbus, OH 43214

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Secondary Practice Location 1

Location 11935 Medical District DrDallas, TX 75235-7701 · Phone (214) 456-3292

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theodros Mamo Md, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688074222

PECOS Enrollment IDI20250804000396

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Theodros Mamo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ohiohealth Corporation

0.2 mi

Family Medicine

3535 OLENTANGY RIVER RD
Columbus, OH 43214

Reassigned Medicare billing, Ohio enrollment
3,314 clinicians in this Medicare group

NPI 1578545273 (614) 533-5500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUDRA KRENELKA

Physician Assistant