Individual provider Active NPI

Joseph M Jeu, MD

  • Family Medicine Physician
  • Hilliard, OH
National Provider Identifier
1508849647
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.046772 Issued in OH
Practice address
3958 Leap Rd Ste 101
Hilliard, OH 43026-3107
Phone
(614) 876-7330
Fax
(614) 876-6974
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.046772 OH Primary

Addresses

Primary practice location

3958 Leap Rd Ste 101
Hilliard, OH 43026-3107

Mailing address

3958 Leap Rd Ste 101
Hilliard, OH 43026-3107
Phone (614) 876-7330

Other identifiers 1

IdentifierTypeStateIssuer
0522376MedicaidOH

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
I20101119000170 OH Practitioner - Family Practice 3375576085 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.046772OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. Family Medicine CurrentSince Apr 5, 2021 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Apr 5, 2021 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

3958 Leap Rd
Ste 101
Hilliard, OH 43026
Phone (614) 876-7330

Interoperability endpoints

  • Direct secure messaging: jjeu18750@copcp.medicity.net

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1508849647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3958 LEAP RD STE 101",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430263107",
            "telephone_number": "614-876-7330",
            "fax_number": "614-876-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3958 LEAP RD STE 101",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430263107",
            "telephone_number": "614-876-7330",
            "fax_number": "614-876-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEU",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.046772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0522376",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.