NPIMap

Individual provider Active NPI

Jacob Albert Misenheimer, M.D.

  • Interventional Cardiology Physician
  • Columbus, OH
National Provider Identifier
1154564557
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
35.148039 Issued in OH
Practice address
3705 Olentangy River Rd Ste 100
Columbus, OH 43214-3467
Phone
(614) 262-6772
Fax
(614) 533-0162
NPI assigned
Apr 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 35.148039 OH Primary

Addresses

Primary practice location

3705 Olentangy River Rd Ste 100
Columbus, OH 43214-3467

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmisenheimer953851@direct.ohiohealth.com OhioHealth Physician Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA, WV, OH4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160322000785 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2365683786 Reassigns benefits to 1 organization
I20160823002756 GA Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2365683786 Reassigns benefits to 1 organization
I20190725002276 WV Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2365683786 Reassigns benefits to 1 organization
I20230705001034 OH Practitioner - Interventional Cardiology 2365683786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Wake Forest University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

3705 Olentangy River Rd
Suite 100
Columbus, OH 43214-5406
Phone (614) 262-6772

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.148039OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NHCS Physicians Inc Cardiovascular Disease CurrentSince Feb 1, 2016 Accepting new patients
Ohiohealth Corporation Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 11, 2016 Accepting new patients
Ohiohealth Corporation CurrentSince Aug 1, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jun 1, 2019 Accepting new patients
NHCS Physicians Inc CurrentSince Feb 1, 2016 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 11, 2016 Accepting new patients
Charleston Area Medical Center, Inc. Current Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

Dept L3652
Columbus, OH 43260

3705 Olentangy River Rd
Ste 100
Columbus, OH 43214

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

7450 Hospital Dr
Ste 460
Dublin, OH 43016
Phone (614) 533-4999

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

3100 Maccorkle Ave SE
Ste 101
Charleston, WV 25304
Phone (304) 388-5395

Organizations & group practices 8

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 7

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": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1154564557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 OLENTANGY RIVER RD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143467",
            "telephone_number": "614-262-6772",
            "fax_number": "614-533-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISENHEIMER",
        "first_name": "JACOB",
        "middle_name": "ALBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35.148039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmisenheimer953851@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "3705 Olentangy River Rd Ste 100",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432143467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.