Active NPI
Jeremy Riehm, DO
- Sports Medicine (Family Medicine) Physician
- Ontario, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 34.011859
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2075276 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Ohio University, College of Osteopathic Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Galion Community Hospital
- Ohiohealth Mansfield Hospital
- Bucyrus Community Hospital
- University Hospitals Samaritan Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.67 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 34.011859 | OH | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galion Community Hospital | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Specialist
- Galion, OH
- NPI 1689822827
-
- Rural Health Clinic/Center
- Bellville, OH
- NPI 1184219859
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ontario, OH
- NPI 1790131050
-
- Critical Access Hospital
- Bucyrus, OH
- NPI 1104914274
-
- Critical Access Hospital
- Galion, OH
- NPI 1215907522
-
- General Acute Care Hospital
- Mansfield, OH
- NPI 1790837235
-
- General Acute Care Hospital
- Ashland, OH
- NPI 1902882939
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.