Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JOHN GERARD IDZAKOVICH JR. NNP
NPI 1801461793
Nurse Practitioner - Neonatal in Columbus, OH

Q: What is John Idzakovich's NPI number?

The NPI number for John Idzakovich is 1801461793. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Q: What is John Idzakovich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for John Idzakovich was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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 May 24, 2021PECOS Enrolled

410 W 10TH AVE, COLUMBUS, OH 43210(614) 722-4560(614) 722-4541 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2026, Dec 29, 2025, Jun 17, 2025 and 2 more (5 updates tracked since 2021).

On this page

About Mr. John Gerard Idzakovich Jr. Nnp NPPES

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

MR. JOHN GERARD IDZAKOVICH JR. NNP (NPI 1801461793) is an individual neonatal provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.0029344) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1801461793

Entity TypeIndividualMale

Primary Taxonomy363LN0000X

Provider Legal NameMR. JOHN GERARD IDZAKOVICH JR.Credential: NNP

Location Address410 W 10TH AVEColumbus, OH 43210-1240

Mailing Address410 W 10th AveColumbus, OH 43210-1240 · (614) 722-2000 · Fax (614) 722-4541

Phone(614) 722-4560

Fax(614) 722-4541

Sole ProprietorYes

Enumeration DateMay 24, 2021

Last NPPES UpdateAugust 6, 20265 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1801461793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in OH · APRN.CNP.0029344

Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.0029344 (OH)

Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License APRN.CNP.0029344 (OH)

410 W 10TH AVE, Columbus, OH 43210

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Secondary Practice Locations 2

Location 1520 W 10th AveColumbus, OH 43210-1328 · Phone (614) 722-2000

Location 2700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-2000 · Fax (614) 722-4541

Other Identifiers 1

Medicaid0452703OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. John Gerard Idzakovich Jr. Nnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

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 20

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

LARA L. VANHUYSEN C.R.N.A.

Nurse Anesthetist, Certified Registered

410 W 10TH AVE
COLUMBUS, OH 43210

Franklin County (614) 293-8487

LAUREN TALANDA-FATH SOUTHERLAND M.D.

Emergency Medicine

410 W 10TH AVE, EMERGENCY DEPARTMENT
COLUMBUS, OH 43210

Franklin County (614) 293-8305

RAFAL KOPANCZYK DO

Anesthesiology

410 W 10TH AVE
COLUMBUS, OH 43210

Franklin County (614) 293-8487

RACHEL MARIE ASHWORTH CRNA

Nurse Anesthetist, Certified Registered

410 W 10TH AVE
COLUMBUS, OH 43210

Franklin County (614) 293-8487

ADAM T. RAMEY MD

Hospitalist

410 W 10TH AVE
COLUMBUS, OH 43210

Franklin County (614) 293-7499

DR. AMY ELIZABETH SCHULTZ PHARM.D.

Pharmacist

410 W 10TH AVE, 368 DOAN HALL
COLUMBUS, OH 43210

Franklin County (614) 366-6754

MAYA HARARY MD

Neurological Surgery

410 W 10TH AVE
COLUMBUS, OH 43210

Franklin County (614) 293-8714

NICOLE L HESS APRN-CNP

Nurse Practitioner

410 W 10TH AVE
COLUMBUS, OH 43210

Franklin County (614) 293-9600

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 John Idzakovich's NPI number?

The NPI number for John Idzakovich is 1801461793. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Where is John Idzakovich located?

John Idzakovich practices at 410 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 722-4560.

What is John Idzakovich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is John Idzakovich enrolled in Medicare?

Yes. John Idzakovich is registered in the Medicare PECOS enrollment system.

What insurance does John Idzakovich accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list John Idzakovich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Idzakovich was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.