Individual provider Active NPI

Jason L Rich, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Wilmington, OH
National Provider Identifier
1003815689
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
35.081549CTR Issued in OH
Practice address
485 W Main St
Wilmington, OH 45177-2174
Phone
(866) 934-7450
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35081549 OH
Addiction Medicine (Family Medicine) Physician 207QA0401X 35.081549CTR OH Primary

Addresses

Primary practice location

485 W Main St
Wilmington, OH 45177-2174

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other practice location 1

101 1/2 W. Main St.
Amanda, OH 43102-9711
Phone (740) 969-2525

Other practice location 2

1405 11th St
Portsmouth, OH 45662-4203
Phone (866) 934-7450

Other identifiers 2

IdentifierTypeStateIssuer
2389106MedicaidOH
420977MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050407000859 OH Practitioner - Family Practice 6305893710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3 Medical Dr
Chillicothe, OH 45601-8603
Phone (740) 779-6612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35081549OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chillicothe Acute Care Clinic, Inc. CurrentSince Nov 8, 2023 Accepting new patients
Chillicothe Acute Care Clinic, Inc. CurrentSince Nov 8, 2023 Accepting new patients
Brightview LLC CurrentSince May 15, 2023 Accepting new patients
Brightview LLC CurrentSince May 15, 2023 Accepting new patients
Brightview, LLC Current Accepting new patients

Locations

3 Medical Dr
Chillicothe, OH 45601
Phone (740) 773-2131

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000

1405 11th St
Portsmouth, OH 45662
Phone (740) 776-2785

485 W Main St
Wilmington, OH 45177
Phone (866) 656-6514

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/anchoraddiction/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1003815689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772174",
            "telephone_number": "866-934-7450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 1/2 W. Main St.",
            "address_purpose": "LOCATION",
            "city": "Amanda",
            "state": "OH",
            "postal_code": "431029711",
            "country_code": "US",
            "telephone_number": "740-969-2525",
            "fax_number": "740-969-4116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 11th St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456624203",
            "country_code": "US",
            "telephone_number": "866-934-7450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICH",
        "first_name": "JASON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35081549",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35.081549CTR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2389106",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420977",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

Verify at the official NPI Registry.