Individual provider Active NPI

Jennifer Trinidad, D.P.M.

  • Podiatrist
  • Hilliard, OH
National Provider Identifier
1245426394
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003541 Issued in OH
Practice address
5539 Hilliard Rome Office Park
Suite #120
Hilliard, OH 43026-7287
Phone
(614) 636-3668
Fax
(614) 363-4723
NPI assigned
Sep 22, 2007
Last updated
Oct 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003541 OH Primary

Addresses

Primary practice location

5539 Hilliard Rome Office Park
Suite #120
Hilliard, OH 43026-7287

Mailing address

5539 Hilliard Rome Office Park
Hilliard, OH 43026-7287
Phone (614) 636-3668

Other identifiers 1

IdentifierTypeStateIssuer
3085085MedicaidOH

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929000555 OH Practitioner - Podiatry 1355467192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Hilliard Family Podiatry LLCGroup PAC ID 1153610241, 3 clinicians

Practice addresses (Care Compare)

5539 Hilliard Rome Office Park
Hilliard, OH 43026-7287
Phone (614) 636-3668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue264
Removal or shaving of skin growth30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hilliard Family Podiatry, LLC. Podiatrist CurrentSince Jul 20, 2015 Accepting new patients
Ohio Pulmonary & Sleep Consultants, Inc. PastSince Sep 1, 2010 Accepting new patients

Locations

5539 Hilliard Rome Office Park
Hilliard, OH 43026
Phone (614) 636-3668

5539 Hilliard Rome Office Park
Ste 120
Hilliard, OH 43026
Phone (614) 636-3668

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13213/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.trinidad.1@13213.direct.athenahealth.com
  • Direct secure messaging: jennifer.trinidad.1@17598.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1190419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1245426394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5539 HILLIARD ROME OFFICE PARK",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267287",
            "telephone_number": "614-636-3668",
            "fax_number": "614-363-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5539 HILLIARD ROME OFFICE PARK",
            "address_2": "SUITE #120",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267287",
            "telephone_number": "614-636-3668",
            "fax_number": "614-363-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINIDAD",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-22",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3085085",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.