Active NPI
Girish Babu Nagesetty, MD
- Surgery Physician
- Fairfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35-04-7185
- Practice address
- 1251 Nilles Road
Suite17
Fairfield, OH 45014-7205 - Phone
- (513) 829-7133
- Fax
- (513) 829-7134
- NPI assigned
- Aug 30, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35-04-7185 | OH | Primary |
Addresses
Primary practice location
1251 Nilles Road
Suite17
Fairfield, OH 45014-7205
Mailing address
1251 Nilles Road
Suite17
Fairfield, OH 45014-7205
Phone (513) 829-7133
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0489734 | Medicaid | OH | |
| 100007840 | Other | IN | INDIANA MEDICAID |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gnagesetty455050@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Surgery | Current | Accepting new patients |
| Mercy Health Physicians Cincinnati LLC | Past | Accepting new patients |
Locations
1251 Nilles Rd
Ste 17
Fairfield, OH 45014
Phone (513) 829-7133
903 NW Washington Blvd
Ste D
Hamilton, OH 45013
Phone (513) 863-0909
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
-
- Durable Medical Equipment & Medical Supplies
- Liberty Township, OH
- NPI 1790281517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1073506606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 NILLES ROAD",
"address_2": "SUITE17",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450147205",
"telephone_number": "513-829-7133",
"fax_number": "513-829-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 NILLES ROAD",
"address_2": "SUITE17",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450147205",
"telephone_number": "513-829-7133",
"fax_number": "513-829-7134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGESETTY",
"first_name": "GIRISH",
"middle_name": "BABU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35-04-7185",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0489734",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA MEDICAID",
"identifier": "100007840",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gnagesetty455050@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "1251 Nilles Road",
"address_2": "Suite17",
"city": "Fairfield",
"state": "OH",
"country_code": "US",
"postal_code": "450147205",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1251 Nilles Road",
"address_2": "Suite17",
"city": "Fairfield",
"state": "OH",
"country_code": "US",
"postal_code": "450147205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.