Active NPI
Noufal Jajeh
- Gastroenterology Physician
- Sidney, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 32.125504
- Practice address
- 930 Wapakoneta Ave
Sidney, OH 45365-1460 - Phone
- (937) 492-1575
- Fax
- (937) 949-2707
- NPI assigned
- Oct 29, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 62188 | WI | |
| Gastroenterology Physician | 207RG0100X | 32.125504 | OH | Primary |
Addresses
Primary practice location
930 Wapakoneta Ave
Sidney, OH 45365-1460
Mailing address
930 Wapakoneta Ave
Sidney, OH 45365-1460
Phone (937) 492-1575
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
- Gastroenterology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
658 W Market St
Suite 117
Lima, OH 45801-4697
Phone (567) 289-9039
Hospital & facility affiliations
- Lima Memorial Health System
- Mary Rutan Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 71 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 153 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32.125504 | OH | MD | Gastroenterology Physician |
| 62188 | WI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology and Hepatology of Northwest Ohio Inc | Gastroenterology | Current | Accepting new patients |
| Mary Rutan Hospital | Current | Accepting new patients | |
| Mary Rutan Hospital | Current | Accepting new patients | |
| Mary Rutan Hospital | Current | Accepting new patients | |
| Mary Rutan Hospital | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2160 Ewing Crawfis Cir
Bellefontaine, OH 43311
Phone (937) 592-9221
205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015
658 W Market St
Ste 117
Lima, OH 45801
Phone (419) 222-3482
930 Wapakoneta Ave
Sidney, OH 45365
Phone (937) 492-1575
209 Lippincott Ln
Urbana, OH 43078
Phone (937) 599-7058
Organizations & group practices 7
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.
-
- Gastroenterology Physician
- Sidney, OH
- NPI 1619428778
-
- Gastroenterology Physician
- Lima, OH
- NPI 1134292584
-
- Rural Health Clinic/Center
- Jackson Center, OH
- NPI 1528806510
-
- General Acute Care Hospital
- Bellefontaine, OH
- NPI 1548254931
-
- General Practice Physician
- Bellefontaine, OH
- NPI 1891997169
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Family Medicine Physician
- West Liberty, OH
- NPI 1003875949
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- General Acute Care Hospital
- Bellefontaine, OH
- NPI 1548254931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1396140604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 WAPAKONETA AVE",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453651460",
"telephone_number": "937-492-1575",
"fax_number": "937-949-2707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 WAPAKONETA AVE",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453651460",
"telephone_number": "937-492-1575",
"fax_number": "937-949-2707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAJEH",
"first_name": "NOUFAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-29",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WI",
"license": "62188",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "32.125504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sidney, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.