Anupam Jha, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35.120690 Issued in OH

Practice address

1221 Hayes Ave
Suite J
Sandusky, OH 44870-3345

Phone

(419) 557-6787

Fax

(419) 621-0127

NPI assigned

Sep 26, 2011

Sex

Male

Sole proprietor

No

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ajha37220@ehrdirect.uhhospitals.org

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.

• University Primary Care Practices Inc

  • Gastroenterology Physician
  • Mentor, OH
  • NPI 1003935339
  Medicare reassignment Care Compare group NPD
• North Coast Professional Company, LLC

  • Internal Medicine Physician
  • Sandusky, OH
  • NPI 1881648210
  Medicare reassignment NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  Medicare reassignment NPD
• North Coast Professional Company, LLC

  • Rural Health Clinic/Center
  • Fremont, OH
  • NPI 1407393242
  NPD
• University Primary Care Practices Inc

  • Internal Medicine Physician
  • Shaker Heights, OH
  • NPI 1720220098
  NPD
• University Primary Care Practices Inc

  • Orthopaedic Surgery Physician
  • Oberlin, OH
  • NPI 1982727087
  NPD
• Emh Regional Medical Center

  • General Acute Care Hospital
  • Elyria, OH
  • NPI 1841299039
  NPD (past)

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

• Emh Regional Medical Center

  • General Acute Care Hospital
  • Elyria, OH
  • NPI 1841299039
  Care Compare affiliation

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1174806293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704736",
            "telephone_number": "419-557-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 HAYES AVE",
            "address_2": "SUITE J",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703345",
            "telephone_number": "419-557-6787",
            "fax_number": "419-621-0127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2322 E 22nd St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441153100",
            "country_code": "US",
            "telephone_number": "216-363-2570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JHA",
        "first_name": "ANUPAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-26",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.120690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086060",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prudence Ann Jefferys, RN
• Adam M Jenkins
• Gina M Jenkins, LPN
• Katelyn Jeremay
• Kayla Jessee
• Yuying Jiang, M.D.
• John Drury M.D.
• John G Stratton Inc
• Gloria Ann Johns, D.O.
• Karli P Johns

• Psychiatry Physician in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.