NPIMap

Individual provider Active NPI

Subhra Jyoti Jana, DO

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1154909570
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.017080 Issued in OH
Practice address
11029 Montgomery Rd
Cincinnati, OH 45249-2306
Phone
(513) 891-2211
NPI assigned
Mar 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.017080 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

11029 Montgomery Rd
Cincinnati, OH 45249-2306

Mailing address

11029 Montgomery Rd
Cincinnati, OH 45249-2306
Phone (513) 891-2211

Other practice location 1

1775 W Lexington
Cincinnati, OH 45212-3589
Phone (513) 977-6700

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
I20241029003954 OH Practitioner - Family Practice 3779982434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

11029 Montgomery Rd
Cincinnati, OH 45249-2306
Phone (513) 891-2211

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
88.71
Promoting interoperability
100
Improvement activities
40
Cost
74.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Sep 9, 2024 Accepting new patients
Trihealth G LLC Family Medicine CurrentSince Sep 9, 2024 Accepting new patients
Trihealth G LLC Family Medicine Past Accepting new patients

Locations

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

11029 Montgomery Rd
Cincinnati, OH 45249
Phone (513) 891-2211

Interoperability endpoints

  • Direct secure messaging: sjana338934@direct.trihealth.com

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 6

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1154909570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11029 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492306",
            "telephone_number": "513-891-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11029 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492306",
            "telephone_number": "513-891-2211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 W Lexington",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452123589",
            "country_code": "US",
            "telephone_number": "513-977-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANA",
        "first_name": "SUBHRA",
        "middle_name": "JYOTI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.017080",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.