Individual provider Active NPI

Jonathan Paul Newsom, MD

  • Family Medicine Physician
  • Westerville, OH
National Provider Identifier
1104280379
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.134061 Issued in OH
Practice address
477 Cooper Rd
Suite 300
Westerville, OH 43801
Phone
(614) 898-8808
Fax
(614) 898-8842
NPI assigned
Apr 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52327 KY
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 35.134061 OH Primary

Addresses

Primary practice location

477 Cooper Rd
Suite 300
Westerville, OH 43801

Mailing address

477 Cooper Rd Ste 300
Westerville, OH 43081-8057
Phone (380) 898-8808

Other identifiers 3

IdentifierTypeStateIssuer
K285040-KOMGOtherKYMEDICARE PIN
300038287MedicaidIN
7100625360-KOMGMedicaidKY

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
I20230127000549 OH Practitioner - Family Practice 4789971292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Health SystemGroup PAC ID 6709793367, 84 clinicians

Practice addresses (Care Compare)

477 Cooper Rd
Suite 300
Westerville, OH 43081-8057
Phone (614) 898-8808

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012

Merit-based Incentive Payment System (MIPS)

Final score
94.28 of 100Reported as group
Quality
99.21
Improvement activities
40
Cost
62.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.134061OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health System CurrentSince Jan 9, 2023 Accepting new patients
Mount Carmel Health System Family Medicine CurrentSince Jan 9, 2023 Accepting new patients
Mount Carmel Health System Past Accepting new patients
Mount Carmel Health Past Accepting new patients

Locations

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

Interoperability endpoints

  • Direct secure messaging: jnewsom2388382@direct.trinity-health.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1104280379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 COOPER RD STE 300",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818057",
            "telephone_number": "380-898-8808",
            "fax_number": "380-898-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 COOPER RD",
            "address_2": "SUITE 300",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "43801",
            "telephone_number": "614-898-8808",
            "fax_number": "614-898-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "JONATHAN",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "52327",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.134061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "K285040-KOMG",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300038287",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100625360-KOMG",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.