NPIMap

Individual provider Active NPI

Jared Galloway

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1114487758
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35145395 Issued in OH
Practice address
6045 Bridgetown Rd
Cincinnati, OH 45248-3049
Phone
(513) 981-4105
Fax
(513) 347-4620
NPI assigned
Mar 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 35145395 OH Primary

Addresses

Primary practice location

6045 Bridgetown Rd
Cincinnati, OH 45248-3049

Mailing address

234 Goodman St, Ml0781
Internal Medicine
Cincinnati, OH 45219-2364
Phone (513) 584-4505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220803000821 OH Practitioner - Internal Medicine 1951637818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

6045 Bridgetown Rd
Suite 4
Cincinnati, OH 45248-3053
Phone (513) 981-6784

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati, LLC Internal Medicine CurrentSince Aug 20, 2022 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Aug 20, 2022 Accepting new patients
Major Hospital Past Accepting new patients
Mercy Health - West Hospital LLC Past Accepting new patients

Locations

6045 Bridgetown Rd
Cincinnati, OH 45248
Phone (513) 451-2200

6045 Bridgetown Rd
Ste 4
Cincinnati, OH 45248

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

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 12

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1114487758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST, ML0781",
            "address_2": "INTERNAL MEDICINE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192364",
            "telephone_number": "513-584-4505",
            "fax_number": "513-584-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 BRIDGETOWN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452483049",
            "telephone_number": "513-981-4105",
            "fax_number": "513-347-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "JARED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35145395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.