Jamal P. Jeter, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36-003234 Issued in OH

Practice address

30915 Lorain Rd Ste 114
North Olmsted, OH 44070-4722

Phone

(440) 471-4970

Fax

(440) 617-6065

NPI assigned

Jan 31, 2007

Last updated

May 3, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Traveling Foot DoctorsGroup PAC ID 2365745866, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGHDAD
• FHIR API: https://fhir4.healow.com/fhir/r4/AGHDAD/Endpoint/AGHDAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Traveling Foot Doctors

  • Primary Podiatric Medicine Podiatrist
  • North Olmsted, OH
  • NPI 1679947097
  Medicare reassignment Care Compare group NPD Authorized official
• Jamal Jeter DPM LLC

  • Podiatrist
  • Westlake, OH
  • NPI 1942495999
  NPD (past) Authorized official
• Visiting Podiatry PLLC

  • Primary Podiatric Medicine Podiatrist
  • Southfield, MI
  • NPI 1295034593
  NPD (past)
• Visiting Podiatry PLLC

  • Primary Podiatric Medicine Podiatrist
  • Williamsburg, VA
  • NPI 1730507138
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1124165931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30915 LORAIN RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704722",
            "telephone_number": "440-471-4970",
            "fax_number": "440-617-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30915 LORAIN RD STE 114",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704722",
            "telephone_number": "440-471-4970",
            "fax_number": "440-617-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETER",
        "first_name": "JAMAL",
        "middle_name": "P.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-003234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2220206",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordon Jaggers, MD
• Jennifer Lynn Jakubisin
• James W. Kershaw, O.D., Inc.
• Thomas H Jares
• Malik Mohammed Jayber, OD
• Nalini R Jhaveri, MD
• Stacie A Jhaveri, MD
• Jodi L Rowson and Associates Inc
• Davion Johnson
• Gail Jones

• Podiatrist in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.