Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mimi Ananya Ghosh, MD

Individual provider Family Medicine Physician · NPI 1538122809

Dr. Mimi Ananya Ghosh, MD is a Family Practice in Columbus, Ohio. Qualified in 1996, 30 years ago. Practices with Osup Community Outreach LLC, a 142-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
30
Licensed in
OH
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1980 Bethel Rd Ste 100
Columbus, OH 43220-1817
Phone: (614) 685-6056
Fax: (614) 685-7170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35070504 (OH)

Record details

NPI number1538122809
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2006
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Osup Community Outreach Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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