Individual provider Active NPI

Girish Babu Nagesetty, MD

  • Surgery Physician
  • Fairfield, OH
National Provider Identifier
1073506606
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35-04-7185 Issued in OH
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

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0489734MedicaidOH
100007840OtherININDIANA MEDICAID

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110302000561 OH Practitioner - Vascular SurgeryPractitioner - General Surgery 5496735623 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc Surgery CurrentSince Dec 29, 2022 Accepting new patients
Mercy Health Physicians Cincinnati LLC PastSince May 1, 2014 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.

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

Verify at the official NPI Registry.