Active NPI
Jerome Chelliah, MD, MPH
- Obstetrics & Gynecology Physician
- Boardman, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35.137267
- Practice address
- 8401 Market St
Boardman, OH 44512-6725 - Phone
- (330) 729-4350
- Fax
- (330) 729-4351
- NPI assigned
- Apr 6, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 150807 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | 35.137267 | OH | Primary |
Addresses
Primary practice location
8401 Market St
Boardman, OH 44512-6725
Mailing address
8401 Market St
Boardman, OH 44512-6725
Phone (330) 729-4350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0405268 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200626001787 | OH | Practitioner - Obstetrics/Gynecology | 8224390398 | Reassigns benefits to 6 organizations |
| I20220609000984 | CA | Practitioner - Obstetrics/Gynecology | 8224390398 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150807 | CA | MD | Obstetrics & Gynecology Physician |
| 35.137267 | OH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians, Lorain, LLC | Current | Accepting new patients | |
| Danielle Kiko MD LLC | Current | Accepting new patients | |
| Union Hospital Inc. | Current | Accepting new patients | |
| Mercy Health Physicians Lorain Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Lorain, LLC | Current | Accepting new patients | |
| Obhg Ohio Corp | Obstetrics & Gynecology | Current | Accepting new patients |
| Signify Health, LLC | Current | Accepting new patients | |
| Obhg California, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Mercy Health Physicians Lorain Specialty Care LLC | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Emh Regional Medical Center | Past | Accepting new patients | |
| Mercy Health Youngstown LLC | Past | Accepting new patients | |
| Mercy Health-Regional Medical Center LLC | Past | Accepting new patients | |
| Mercy Health Youngstown LLC | Past | Accepting new patients | |
| Mercy Health-St Ritas Medical Center LLC | Past | Accepting new patients | |
| Mercy Health Youngstown LLC | Past | Accepting new patients |
Locations
18300 Outer Highway 18
Apple Valley, CA 92307
Phone (760) 946-8873
18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311
2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912
3909 Orange Pl
Ste 1100
Beachwood, OH 44122
Phone (216) 896-1755
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000
11100 Euclid Ave
Cleveland Heights, OH 44106
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902
401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
6555 Frank Ave NW
North Canton, OH 44720
Phone (330) 956-5300
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- jchelliah711635@direct.bsmhealth.org
- jchelliah@unionhealth.cernerdirect.com
- https://fhir4.healow.com/fhir/r4/HDHHDD/Endpoint/HDHHDD
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Canton, OH
- NPI 1043596257
Obstetrics & Gynecology, OH
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Obstetrics & Gynecology, OH
-
- Obstetrics & Gynecology Physician
- Greenville, SC
- NPI 1215258892
CA, Obstetrics & Gynecology
-
- Durable Medical Equipment & Medical Supplies
- Vermilion, OH
- NPI 1255063145
-
- Durable Medical Equipment & Medical Supplies
- Oberlin, OH
- NPI 1730724147
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- Psychiatric Hospital Unit
- Elyria, OH
- NPI 1518966621
-
- Clinical Medical Laboratory
- Boardman, OH
- NPI 1275608622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1013371046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 MARKET ST",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445126725",
"telephone_number": "330-729-4350",
"fax_number": "330-729-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 MARKET ST",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445126725",
"telephone_number": "330-729-4350",
"fax_number": "330-729-4351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHELLIAH",
"first_name": "JEROME",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-06",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "150807",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35.137267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0405268",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.