NPIMap

Individual provider Active NPI

Julie A Itty, DO

  • Family Medicine Physician
  • Westerville, OH
National Provider Identifier
1235632019
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.015000 Issued in OH
Practice address
400 Altair Pkwy Ste 3300
Westerville, OH 43082-7653
Phone
(614) 882-0708
Fax
(614) 882-2878
NPI assigned
Mar 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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 34.015000 OH Primary

Addresses

Primary practice location

400 Altair Pkwy Ste 3300
Westerville, OH 43082-7653

Mailing address

400 Altair Pkwy Ste 3300
Westerville, OH 43082-7653
Phone (614) 882-0708

Other identifiers 1

IdentifierTypeStateIssuer
0442215MedicaidOH

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
I20210719001731 OH Practitioner - Family Practice 4789932963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Ohio Primary Care Physicians, Inc.Group PAC ID 2769383785, 487 clinicians

Practice addresses (Care Compare)

555 W Schrock Rd
Suite 110
Westerville, OH 43081-8739
Phone (614) 882-0708

Hospital & facility affiliations

  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • James Cancer Hospital & Solove Research Institute Hospital, Columbus, OH, CCN 360242
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

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
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. Family Medicine CurrentSince Aug 23, 2021 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Aug 23, 2021 Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

655 Africa Rd
Westerville, OH 43082

400 Altair Pkwy
Ste 3300
Westerville, OH 43082
Phone (614) 383-6000

555 W Schrock Rd
Ste 110
Westerville, OH 43081
Phone (614) 500-2500

Interoperability endpoints

  • Direct secure messaging: jitty18832@copcp.medicity.net

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 8

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": "1521244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1235632019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ALTAIR PKWY STE 3300",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827653",
            "telephone_number": "614-882-0708",
            "fax_number": "614-882-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ALTAIR PKWY STE 3300",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827653",
            "telephone_number": "614-882-0708",
            "fax_number": "614-882-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITTY",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-17",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.015000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442215",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.