Individual provider Active NPI

Jeremy D Engel, M.D.

  • Family Medicine Physician
  • Fort Defiance, AZ
National Provider Identifier
1497792584
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.076158 Issued in OH
Practice address
Corner of Route N12 and N7
Fort Defiance, AZ 86504
Phone
(928) 729-8000
NPI assigned
May 31, 2006
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.076158 OH Primary
Family Medicine Physician 207Q00000X 35995 KY

Addresses

Primary practice location

Corner of Route N12 and N7
Fort Defiance, AZ 86504

Mailing address

PO Box 649
Fort Defiance, AZ 86504-0649
Phone (928) 729-8000

Other practice location 1

119 Fairfield Ave
Suite R102
Bellevue, KY 41073
Phone (859) 431-0090

Other practice location 2

602 W Redskin Trl
Wapakoneta, OH 45895-9349
Phone (419) 738-5151

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeremy.engel@lmpc.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060926000004 OH Practitioner - Family Practice 4789689746 Reassigns benefits to 2 organizations
I20100115000004 KY Practitioner - Family Practice 4789689746 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Davis School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complexcare Medical Group Midwest M PLLCGroup PAC ID 1355858630, 87 clinicians

Practice addresses (Care Compare)

717 S 30TH St
Heath, OH 43056-1294
Phone (740) 522-1171

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.076158OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc. CurrentSince Jan 1, 2010 Accepting new patients
Extended Care Specialists, Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Eventus Ecs - Kentucky, PLLC CurrentSince Nov 5, 2024 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Nov 4, 2024 Accepting new patients
Lima Memorial Professional Corporation Family Medicine CurrentSince Nov 4, 2024 Accepting new patients
Complexcare Medical Group Midwest M PLLC CurrentSince Jun 21, 2025 Accepting new patients
Theoria Medical CurrentSince Jun 2, 2025 Accepting new patients
Summit Medical Group, Inc Family Medicine CurrentSince Jan 1, 2010 Accepting new patients
Lancaster Post Acute, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
The Laurels of West Columbus, LLC Past Accepting new patients
HCF of Wapakoneta, Inc. Past Accepting new patients
Cincinnati Health Care Group PSC Past Accepting new patients

Locations

103 Landmark Dr
Ste 100
Bellevue, KY 41073
Phone (606) 431-0090

119 Fairfield Ave
Ste R102
Bellevue, KY 41073
Phone (859) 431-0090

334 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-6065

340 Thomas More Pkwy
#160
Crestview Hills, KY 41017

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

828 Lane Allen Rd
Ste 219
Lexington, KY 40504
Phone (317) 782-1577

300 Shelby Station Dr
Louisville, KY 40245
Phone (270) 869-7743

2344 Amsterdam Rd
Villa Hills, KY 41017
Phone (859) 341-3981

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

41800 W 11 Mile Rd
Novi, MI 48375
Phone (248) 282-5044

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

L3982
Columbus, OH 43260

5151 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 337-1066

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

717 S 30th St
Newark, OH 43056
Phone (740) 522-1171

1500 Sherman Ave
Norwood, OH 45212
Phone (513) 631-6800

7120 Port Sylvania Dr
Toledo, OH 43617
Phone (419) 841-2200

602 W Redskin Trl
Wapakoneta, OH 45895
Phone (419) 738-5151

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

Interoperability endpoints

  • Direct secure messaging: jengel5645@direct-prd.stelizabeth.com
  • Direct secure messaging: jeremy.engel@lmpc.eclinicaldirectplus.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1497792584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040649",
            "telephone_number": "928-729-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF ROUTE N12 AND N7",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Fairfield Ave",
            "address_2": "Suite R102",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "KY",
            "postal_code": "41073",
            "country_code": "US",
            "telephone_number": "859-431-0090",
            "fax_number": "859-431-3168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 W Redskin Trl",
            "address_purpose": "LOCATION",
            "city": "Wapakoneta",
            "state": "OH",
            "postal_code": "458959349",
            "country_code": "US",
            "telephone_number": "419-738-5151",
            "fax_number": "419-941-1092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "JEREMY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.076158",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "35995",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeremy.engel@lmpc.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "address_1": "602 W Redskin Trl",
            "city": "Wapakoneta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458959349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Defiance, AZ

Sources for this page

Verify at the official NPI Registry.