Individual provider Active NPI

Joddi M. Neff-Massullo, M.D.

  • Internal Medicine Physician
  • Powell, OH
National Provider Identifier
1275792178
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.090851 Issued in OH
Practice address
15 S Liberty St
Powell, OH 43065-9301
Phone
(614) 800-7095
Fax
(614) 350-3890
NPI assigned
Jun 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.090851 OH Primary

Addresses

Primary practice location

15 S Liberty St
Powell, OH 43065-9301

Mailing address

1081 Grandview Ave
Columbus, OH 43212-3435
Phone (614) 537-7641

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
I20100909000099 OH Practitioner - Vascular SurgeryPractitioner - Internal Medicine 2365567708 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Radiology and Interventional Associates Inc CurrentSince Aug 5, 2010 Accepting new patients

Locations

3525 Olentangy River Rd
Ste 5360
Columbus, OH 43214
Phone (614) 340-7747

100 E Campus View Blvd
Ste 160
Columbus, OH 43235
Phone (614) 396-4750

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1275792178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 GRANDVIEW AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123435",
            "telephone_number": "614-537-7641",
            "fax_number": "614-350-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S LIBERTY ST",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430659301",
            "telephone_number": "614-800-7095",
            "fax_number": "614-350-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEFF-MASSULLO",
        "first_name": "JODDI",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.090851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.