MICKEY NI
NPI 1568761864
Internal Medicine in Columbus, OH
About Mickey Ni NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICKEY NI (NPI 1568761864) is an individual internal medicine provider in Columbus, Ohio, licensed in Ohio (35123314) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
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
Mickey Ni 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.
Medicare Billing Reassignment
Medicare enrollment records show Mickey Ni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
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 43221 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBUS, OH 43221
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mickey Ni's NPI number?
The NPI number for Mickey Ni is 1568761864. It was assigned to this individual provider in the NPPES registry on March 25, 2011.
Where is Mickey Ni located?
Mickey Ni practices at 2050 Kenny Rd, Columbus, OH 43221. The listed phone number is (614) 293-8054.
What is Mickey Ni's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mickey Ni enrolled in Medicare?
Yes. Mickey Ni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mickey Ni's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mickey Ni reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mickey Ni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mickey Ni was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Mickey Ni · NPI 1568761864
Internal Medicine physician in Columbus, Ohio. Individual provider, active in the CMS NPPES registry since March 25, 2011.
## Identity
- **NPI:** 1568761864 (Entity type: Individual)
- **Enumerated:** March 25, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 35123314 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2050 KENNY RD, Columbus, OH 43221-3502
- **Phone:** (614) 293-8054 · **Fax:** (614) 293-4890
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1568761864) · Data from the CMS NPPES public registry.