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CARL H BACKES MD
NPI 1962674036
Pediatrics - Neonatal-Perinatal Medicine in Columbus, OH

Active since March 29, 2008PECOS Enrolled
700 CHILDRENS DR, COLUMBUS, OH 43205(614) 722-4559(614) 722-4554 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 14, 2026, Feb 6, 2026, Apr 12, 2024 and 5 more (8 updates tracked since 2016).

About Carl H Backes Md NPPES

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

CARL H BACKES MD (NPI 1962674036) is an individual neonatal-perinatal medicine provider in Columbus, Ohio, licensed in Ohio (35094350) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and maintains 19 additional practice locations.

NPPES Registry Identity

NPI1962674036
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameCARL H BACKESCredential: MD
Location Address700 CHILDRENS DRColumbus, OH 43205
Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-2000 · Fax (614) 722-4541
Phone(614) 722-4559
Fax(614) 722-4554
Sole ProprietorNo
Enumeration DateMarch 29, 2008
Last NPPES UpdateApril 14, 20268 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1962674036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in OH · 35094350
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License 35094350 (OH)
700 CHILDRENS DR, Columbus, OH 43205
Open in Google Maps ↗

Secondary Practice Locations 19

Location 14439 State Route 159 Ste G10Chillicothe, OH 45601-7708 · Phone (614) 722-2555
Location 2740 Adair AveZanesville, OH 43701-2838 · Phone (614) 722-2000
Location 31711 27th StPortsmouth, OH 45662-2654 · Phone (614) 722-6200
Location 411 John Lloyd Evans Memorial DrNelsonville, OH 45764-2523 · Phone (614) 722-6200
Location 5536 S Trimble RdMansfield, OH 44906-3418 · Phone (419) 528-3150
Location 6455 Executive Campus DrWesterville, OH 43082-8870 · Phone (614) 355-6100
Location 77901 Diley RdCanal Winchester, OH 43110-9612 · Phone (614) 355-9050
Location 85665 Venture DrDublin, OH 43017-2159 · Phone (614) 355-8480
Location 91069 Delaware AveMarion, OH 43302-1400 · Phone (740) 387-7777
Location 10830 W High StLima, OH 45801-3971 · Phone (419) 226-9694
Location 11716 Adair AveZanesville, OH 43701-2836 · Phone (614) 722-6200
Location 121818 Chapel DrFindlay, OH 45840-1335 · Phone (614) 722-6200
Location 13416 Front StMarietta, OH 45750-2124 · Phone (614) 722-2555
Location 14955 Bethesda DrZanesville, OH 43701-1873 · Phone (614) 722-6200
Location 15520 W 10th AveColumbus, OH 43210-1328 · Phone (614) 293-8000
Location 16335 Glessner Ave Fl 3Mansfield, OH 44903-2269 · Phone (614) 722-6200
Location 177853 Pacer DrDelaware, OH 43015-7571 · Phone (614) 355-7900
Location 181 Childrens PlzDayton, OH 45404-1873 · Phone (937) 641-3418
Location 1926 Hospital DrAthens, OH 45701-2471 · Phone (614) 722-2000

Other Identifiers 1

Medicaid0081242OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carl H Backes Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carl Backes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nationwide Children's Hospital
Same address
Multi-Specialty
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 976 clinicians in this Medicare group
NPI 1851179873 (614) 722-2055
Pediatric Academic Association, Inc.
Same address
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
NPI 1063419943 (614) 722-4579

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

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.

BELA M GANDHI MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-8212
AMRIK SINGH KHALSA M.D.
Pediatrics
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2000
DR. ROBERT MICHAEL DORMAN M.D.
Surgery
700 CHILDRENS DR, CCPR
COLUMBUS, OH 43205
Franklin County (614) 722-0449
MR. CHRISTOPHER JONES MD
Pediatrics (Pediatric Emergency Medicine)
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2000
LEANNE MURRAY PHARMD
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2160
CLAIRE ELIZABETH CHRISTIAN M.D.
Pediatrics (Pediatric Emergency Medicine)
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2000
MEGAN MCNICOL
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2160
MARIA STRENG
Nurse Practitioner (Pediatrics)
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2000

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 Carl Backes's NPI number?

The NPI number for Carl Backes is 1962674036. It was assigned to this individual provider in the NPPES registry on March 29, 2008.

Where is Carl Backes located?

Carl Backes practices at 700 Childrens Dr, Columbus, OH 43205. The listed phone number is (614) 722-4559.

What is Carl Backes's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Carl Backes enrolled in Medicare?

Yes. Carl Backes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carl Backes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Backes reassigns Medicare benefits to 2 organizations: Nationwide Children's Hospital (Columbus, OH) and Pediatric Academic Association, Inc. (Columbus, OH). Each 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 Carl Backes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carl Backes accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, Molina Healthcare and UnitedHealthcare list Carl Backes 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 Carl Backes was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.