Individual provider Active NPI

Jerome Chelliah, MD, MPH

  • Obstetrics & Gynecology Physician
  • Boardman, OH
National Provider Identifier
1013371046
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.137267 Issued in OH
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

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0405268MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
150807CAMDObstetrics & Gynecology Physician
35.137267OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians, Lorain, LLC CurrentSince Jul 1, 2020 Accepting new patients
Danielle Kiko MD LLC CurrentSince Jan 1, 2025 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Lorain, LLC CurrentSince Jul 1, 2020 Accepting new patients
Obhg Ohio Corp Obstetrics & Gynecology CurrentSince Jul 1, 2021 Accepting new patients
Signify Health, LLC CurrentSince Sep 1, 2021 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Feb 24, 2022 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
University Hospitals Medical Group Inc Obstetrics & Gynecology CurrentSince Jul 1, 2020 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

  • Direct secure messaging: jchelliah711635@direct.bsmhealth.org
  • Direct secure messaging: jchelliah@unionhealth.cernerdirect.com
  • FHIR API: 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.

View all 16

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

Verify at the official NPI Registry.