Individual provider Active NPI

Jonathan James Corbett, MD

  • Urology Physician
  • Worthington, OH
National Provider Identifier
1174919948
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35.139297 Issued in OH
Practice address
350 W Wilson Bridge Rd Ste 100
Worthington, OH 43085-2590
Phone
(614) 796-2900
Fax
(614) 796-2901
NPI assigned
Apr 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35.139297 OH Primary

Addresses

Primary practice location

350 W Wilson Bridge Rd Ste 100
Worthington, OH 43085-2590

Mailing address

701 Tech Center Dr Ste 250
Gahanna, OH 43230-1987
Phone (614) 944-4800

Other practice location 1

701 Tech Center Dr
Gahanna, OH 43230-1987
Phone (614) 396-2684

Other identifiers 1

IdentifierTypeStateIssuer
0402520MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200610002736 OH Practitioner - Urology 4688986797 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Wright State University Boonshoft School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Ohio Urology Group, LLC.Group PAC ID 5395758882, 48 clinicians
Fairfield Healthcare Professionals IncGroup PAC ID 4789596362, 144 clinicians

Practice addresses (Care Compare)

350 W Wilson Bridge Rd
Suite 100
Worthington, OH 43085-2585
Phone (614) 268-2323

618 Pleasantville Rd
Suite 203
Lancaster, OH 43130-3346
Phone (740) 689-4945

Hospital & facility affiliations

  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Mount Carmel Dublin Hospital, Dublin, OH, CCN 360375

Merit-based Incentive Payment System (MIPS)

Final score
76.95 of 100Reported as group
Quality
43.39
Promoting interoperability
100
Improvement activities
40
Cost
76.51

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Healthcare Professionals Inc CurrentSince Oct 8, 2021 Accepting new patients
Central Ohio Urology Group, LLC Urology CurrentSince Aug 3, 2020 Accepting new patients
Fairfield Healthcare Professionals, Inc. CurrentSince Oct 8, 2021 Accepting new patients
Central Ohio Urology Group, LLC Urology CurrentSince Aug 3, 2020 Accepting new patients
Central Ohio Urology Surgery Center, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

8200 Hazelton Etna Rd SW
Etna, OH 43062
Phone (614) 221-5189

701 Tech Center Dr
Ste 250
Gahanna, OH 43230

701 Tech Center Dr
Ste 100
Gahanna, OH 43230
Phone (440) 724-4498

701 Tech Center Dr
Gahanna, OH 43230
Phone (614) 944-4806

701 Tech Center Dr
Ste 120
Gahanna, OH 43230

701 Tech Center Dr
Ste 200
Gahanna, OH 43230
Phone (614) 396-2670

618 Pleasantville Rd
Ste 203
Lancaster, OH 43130
Phone (740) 687-8000

131 N Ewing St
Ste C
Lancaster, OH 43130
Phone (740) 689-6600

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

625 Africa Rd
Ste 200
Westerville, OH 43082
Phone (614) 847-4100

350 W Wilson Bridge Rd
Worthington, OH 43085
Phone (614) 796-2900

350 W Wilson Bridge Rd
Ste 100
Worthington, OH 43085
Phone (614) 268-2323

Interoperability endpoints

  • Direct secure messaging: jcorbett@us-uro.emadirect.md
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1174919948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECH CENTER DR STE 250",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301987",
            "telephone_number": "614-944-4800",
            "fax_number": "614-944-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W WILSON BRIDGE RD STE 100",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852590",
            "telephone_number": "614-796-2900",
            "fax_number": "614-796-2901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Tech Center Dr",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432301987",
            "country_code": "US",
            "telephone_number": "614-396-2684",
            "fax_number": "614-944-4750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "JONATHAN",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35.139297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0402520",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.