Active NPI
Mohammed A Jayber, DO
- Adult Medicine Physician
- Avon, OH
National Provider Identifier
1215914759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 34006361
- Practice address
- 2217 Wisteria Way
Avon, OH 44011-2614 - Phone
- (440) 934-7080
- Fax
- (440) 934-0818
- NPI assigned
- Dec 27, 2005
- Last updated
- Mar 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 34006361 | OH | Primary |
Addresses
Primary practice location
2217 Wisteria Way
Avon, OH 44011-2614
Mailing address
2217 Wisteria Way
Avon, OH 44011-2614
Phone (440) 934-7080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2041963 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2217 Wisteria Way
Avon, OH 44011-2614
Phone (440) 934-7080
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avon Nursing LLC | Past | Accepting new patients | |
| Emh Professional Services Inc. | Past | Accepting new patients | |
| Wesleyan Village LLC | Past | Accepting new patients | |
| Cardinal Avon, Inc. | Past | Accepting new patients |
Interoperability endpoints
- mjayber37782@ehrdirect.uhhospitals.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Avon, OH
- NPI 1730374687
-
- Skilled Nursing Facility
- Avon, OH
- NPI 1366245789
-
- Obstetrics & Gynecology Physician
- Elyria, OH
- NPI 1508951070
-
- Skilled Nursing Facility
- Elyria, OH
- NPI 1528065737
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University Hospitals Elyria Medical Center
- General Acute Care Hospital
- Elyria, OH
- NPI 1841299039
-
dba Mercy Regional Medical Center Laboratory
- Clinical Medical Laboratory
- Lorain, OH
- NPI 1164971800
Hospital
-
dba Mercy Health Lorain Hospital
- General Acute Care Hospital
- Lorain, OH
- NPI 1245274950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1215914759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2217 WISTERIA WAY",
"city": "AVON",
"state": "OH",
"postal_code": "440112614",
"telephone_number": "440-934-7080",
"fax_number": "440-934-0810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2217 WISTERIA WAY",
"city": "AVON",
"state": "OH",
"postal_code": "440112614",
"telephone_number": "440-934-7080",
"fax_number": "440-934-0818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAYBER",
"first_name": "MOHAMMED",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "OH",
"license": "34006361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2041963",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Avon, OH
- Bethany Marie Jacobs, CCC-SLP
- Katherine Anne Jacobs, M.D.
- Joyce Garcia Jacquet, CRNA
- Rashmi Jain, M.D
- David R Jake
- John T Webster, DDS, Inc. (Dr. John T Webster, DDS, Inc.)
- Denise A Johnson, RRT
- Sarah M Johnson, DO
- Jubilee Healthcare LLC (North Shore Healthcare)
- Jubilee Healthcare, LLC (North Shore Healthcare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.