Individual provider Active NPI

John Ucci, M.D.

  • Family Medicine Physician
  • Chillicothe, OH
National Provider Identifier
1194718049
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35084142U Issued in OH
Practice address
1049 Western Ave
Chillicothe, OH 45601-1104
Phone
(740) 773-4366
Fax
(740) 775-7855
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35084142U OH Primary

Addresses

Primary practice location

1049 Western Ave
Chillicothe, OH 45601-1104

Mailing address

1049 Western Ave
Chillicothe, OH 45601-1104
Phone (740) 773-4366

Other identifiers 13

IdentifierTypeStateIssuer
2467227MedicaidOH
311155352OtherNATIONWIDE INS.
0112393OtherUNITED HEALTHCARE
311155352OtherCENTRAL BENEFITS
311155352OtherAETNA
311155352OtherOHIO HEALTH CHOICE
311155352OtherE V BENEFITS
311155352OtherGREAT WEST
311155352OtherEMERALD HEALTH
000000332118OtherOHANTHEM
311155352OtherPPO NEXT
311155352OtherCIGNA/CONN. GEN.
311155352001OtherTRICARE

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
I20040430000529 OH Practitioner - Family Practice 0547165300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hopewell Health Centers, Inc.Group PAC ID 9234049990, 55 clinicians

Practice addresses (Care Compare)

1049 Western Ave
Chillicothe, OH 45601-1104
Phone (740) 773-4366

Hospital & facility affiliations

  • Ross County Home Health LLC Home health agency, Chillicothe, OH, CCN 367097
  • Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hopewell Health Centers Inc Current Accepting new patients
Hopewell Health Centers Inc CurrentSince Mar 1, 2019 Accepting new patients
Hopewell Health Centers Inc Past Accepting new patients

Locations

90 Hospital Dr
Athens, OH 45701
Phone (740) 592-3091

1049 Western Ave
Chillicothe, OH 45601
Phone (740) 773-1006

31891 State Route 93
Mc Arthur, OH 45651
Phone (740) 596-5249

Organizations & group practices 3

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 2

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.

{
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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1194718049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 WESTERN AVE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011104",
            "telephone_number": "740-773-4366",
            "fax_number": "740-775-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
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            "city": "CHILLICOTHE",
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            "postal_code": "456011104",
            "telephone_number": "740-773-4366",
            "fax_number": "740-775-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCCI",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35084142U",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2467227",
            "state": "OH"
        },
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            "issuer": "NATIONWIDE INS.",
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            "state": null
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0112393",
            "state": null
        },
        {
            "code": "01",
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            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
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            "state": null
        },
        {
            "code": "01",
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            "issuer": "OHIO HEALTH CHOICE",
            "identifier": "311155352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "E V BENEFITS",
            "identifier": "311155352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "311155352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMERALD HEALTH",
            "identifier": "311155352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000332118",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO NEXT",
            "identifier": "311155352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA/CONN. GEN.",
            "identifier": "311155352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "311155352001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.