Individual provider Active NPI

Jay A Bauerle, MD

  • Neurology Physician
  • Westerville, OH
National Provider Identifier
1265498604
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
095355 Issued in OH
Practice address
495 Cooper Rd Ste 212
Westerville, OH 43081-8735
Phone
(614) 627-1400
Fax
(614) 882-6097
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 23994 WV
Neurology Physician 2084N0400X 01043948A IN
Neurology Physician 2084N0400X 095355 OH Primary

Addresses

Primary practice location

495 Cooper Rd Ste 212
Westerville, OH 43081-8735

Mailing address

495 Cooper Rd Ste 212
Westerville, OH 43081-8735
Phone (614) 627-1400

Other identifiers 4

IdentifierTypeStateIssuer
381001773MedicaidWV
200368430MedicaidIN
3056428MedicaidOH
000000392104OtherINANTHEM BXBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbauerle1142115@direct.trinity-health.org Direct

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
I20100723000221 OH Practitioner - Neurology 5496766719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Medical Branch at Galveston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders Two LLCGroup PAC ID 6608828447, 222 clinicians

Practice addresses (Care Compare)

495 Cooper Rd
Suite 212
Westerville, OH 43081-8735
Phone (614) 663-3501

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012
  • Mount Carmel New Albany Surgical Hospital Hospital, New Albany, OH, CCN 360266
  • Mount Carmel Dublin Hospital, Dublin, OH, CCN 360375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01043948AINMDNeurology Physician
095355OHMDNeurology Physician
23994WVMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Healthcare Professionals Inc CurrentSince Aug 27, 2023 Accepting new patients
Fairfield Healthcare Professionals, Inc. CurrentSince Aug 27, 2023 Accepting new patients
Mount Carmel Healthproviders Two LLC Neurology Current Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince Feb 2, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Oldrich J Kolar, MD PC Neurology Past Accepting new patients
Consultants in Neurology, LTD Neurology Past Accepting new patients
Josephson-Wallack-Munshower Neurology PC Neurology PastSince May 11, 2025 Accepting new patients
Major Hospital Past Accepting new patients

Locations

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

5300 N Meadows Dr
Ste 1900
Grove City, OH 43123
Phone (614) 663-2450

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

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

135 N Ewing St
Ste 201
Lancaster, OH 43130
Phone (740) 653-5088

495 Cooper Rd
Ste 212
Westerville, OH 43081
Phone (614) 627-1400

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1753
  • Direct secure messaging: jbauerle1142115@direct.trinity-health.org

Organizations & group practices 9

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 5

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1265498604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 COOPER RD STE 212",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818735",
            "telephone_number": "614-627-1400",
            "fax_number": "614-882-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 COOPER RD STE 212",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818735",
            "telephone_number": "614-627-1400",
            "fax_number": "614-882-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUERLE",
        "first_name": "JAY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WV",
            "license": "23994",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01043948A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "095355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381001773",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200368430",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3056428",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BXBS",
            "identifier": "000000392104",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbauerle1142115@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Health Columbus Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "495 Cooper Rd Ste 212",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430818735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.