Individual provider Active NPI

Jessica Pykosz, PA-C

  • Physician Assistant
  • Liberty Township, OH
National Provider Identifier
1376975086
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004800RX Issued in OH
Practice address
6939 Cox Rd
Liberty Township, OH 45069-7595
Phone
(513) 791-5200
Fax
(513) 791-5229
NPI assigned
Aug 5, 2013
Last updated
Jan 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.004800RX OH Primary

Addresses

Primary practice location

6939 Cox Rd
Liberty Township, OH 45069-7595

Mailing address

6939 Cox Rd
Liberty Township, OH 45069-7595
Phone (513) 791-5200

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161129002157 OH Practitioner - Physician Assistant 7618257155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christ Hospital Orthopedic Associates III LLCGroup PAC ID 8820282924, 33 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

11140 Montgomery Rd
Cincinnati, OH 45249-2309
Phone (513) 221-5500

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 221-5500

608 Reading Rd
Mason, OH 45040-3001
Phone (513) 221-5500

6939 Cox Rd
Liberty Township, OH 45069-7595
Phone (513) 792-7445

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.86 of 100Reported as group
Quality
79.11
Promoting interoperability
100
Improvement activities
40
Cost
77.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.004800RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Hospital Orthopedic Associates LLC Physician Assistant Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1376975086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6939 COX RD",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450697595",
            "telephone_number": "513-791-5200",
            "fax_number": "513-791-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6939 COX RD",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450697595",
            "telephone_number": "513-791-5200",
            "fax_number": "513-791-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYKOSZ",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004800RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Township, OH

Sources for this page

Verify at the official NPI Registry.