Individual provider Active NPI

Jeremy Riehm, DO

  • Sports Medicine (Family Medicine) Physician
  • Ontario, OH
National Provider Identifier
1386967313
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
34.011859 Issued in OH
Practice address
715 Richland Mall Ste 407
Ontario, OH 44906-3802
Phone
(567) 307-7595
NPI assigned
Mar 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 34.011859 OH Primary

Addresses

Primary practice location

715 Richland Mall Ste 407
Ontario, OH 44906-3802

Mailing address

700 N Columbus St
Crestline, OH 44827-1455
Phone (567) 307-7595

Other practice location 1

987 State Route 97 W
Bellville, OH 44813-4481
Phone (567) 307-7595

Other identifiers 1

IdentifierTypeStateIssuer
2075276MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jriehm539432@direct.osumc.edu
Direct Messaging Address jriehm539432@direct.osumc.edu

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
I20150925002084 OH Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 1658519616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
Ohio University, College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians

Practice addresses (Care Compare)

2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505

715 Richland Mall
Ontario, OH 44906-3802
Phone (567) 307-7557

987 State Route 97
Bellville, OH 44813-7001
Phone (567) 560-3790

Hospital & facility affiliations

  • Avita Ontario Hospital, Ontario, OH, CCN 360365
  • Galion Community Hospital Hospital, Galion, OH, CCN 361325
  • Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118
  • Bucyrus Community Hospital Hospital, Bucyrus, OH, CCN 361316
  • University Hospitals Samaritan Medical Center Hospital, Ashland, OH, CCN 360002

Merit-based Incentive Payment System (MIPS)

Final score
89.67 of 100Reported as individual
Quality
81.77
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.011859OHMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galion Community Hospital PastSince Mar 7, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jriehm539432@direct.osumc.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1386967313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N COLUMBUS ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271455",
            "telephone_number": "567-307-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 RICHLAND MALL STE 407",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449063802",
            "telephone_number": "567-307-7595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "987 State Route 97 W",
            "address_purpose": "LOCATION",
            "city": "Bellville",
            "state": "OH",
            "postal_code": "448134481",
            "country_code": "US",
            "telephone_number": "567-307-7595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIEHM",
        "first_name": "JEREMY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-04",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "34.011859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2075276",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jriehm539432@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "715 Richland Mall Ste 407",
            "city": "Ontario",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449063802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jriehm539432@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "987 State Route 97 W",
            "city": "Bellville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448134481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ontario, OH

Sources for this page

Verify at the official NPI Registry.