Individual provider Active NPI

Mona Jagetia, MD

  • Pediatrics Physician
  • N Ridgeville, OH
National Provider Identifier
1346232188
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35072014 Issued in OH
Practice address
34960 Center Ridge Rd
N Ridgeville, OH 44039-3183
Phone
(440) 353-3433
Fax
(440) 353-3431
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35072014 OH Primary

Addresses

Primary practice location

34960 Center Ridge Rd
N Ridgeville, OH 44039-3183

Mailing address

26908 Detroit Rd
Suite 301
Westlake, OH 44145-2398
Phone (440) 617-1823

Other identifiers 2

IdentifierTypeStateIssuer
2068819MedicaidOH
080162998OtherOHRR MEDICARE

Other names 1

  • Mona Patel Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address monajagetia@uhps.allscriptsdirect.net

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
I20100112000359 OH Practitioner - Pediatric Medicine 7517008600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35072014OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Pediatrics CurrentSince Jun 5, 2017 Accepting new patients
University Primary Care Practices Inc Pediatrics CurrentSince Jun 5, 2017 Accepting new patients
Westshore Primary Care Assoc Inc Pediatrics Past Accepting new patients
University Primary Care Practices Pediatrics Past Accepting new patients

Locations

2535 Hale St
Ste B
Avon, OH 44011
Phone (440) 934-8858

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

32800 Lorain Rd
Ste 2100
North Ridgeville, OH 44039
Phone (440) 353-3433

29325 Health Campus Dr
Ste 2
Westlake, OH 44145
Phone (440) 835-6142

Interoperability endpoints

  • Direct secure messaging: mpateljagetia37254@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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1346232188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26908 DETROIT RD",
            "address_2": "SUITE 301",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452398",
            "telephone_number": "440-617-1823",
            "fax_number": "440-617-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34960 CENTER RIDGE RD",
            "city": "N RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393183",
            "telephone_number": "440-353-3433",
            "fax_number": "440-353-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGETIA",
        "first_name": "MONA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35072014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2068819",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080162998",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "monajagetia@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "32800 Lorain Rd Ste 2100",
            "city": "North Ridgeville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440393430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MONA",
            "last_name": "PATEL",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in N Ridgeville, OH

Sources for this page

Verify at the official NPI Registry.