Individual provider Active NPI

Jodi K Regan, MD

  • Gynecologic Oncology Physician
  • Akron, OH
National Provider Identifier
1528059482
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
35071890 Issued in OH
Practice address
1 Perkins SQ
Akron, OH 44308-1063
Phone
(330) 543-4500
Fax
(330) 543-4508
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 32721 KY
Obstetrics & Gynecology Physician 207V00000X 18609 NV
Obstetrics & Gynecology Physician 207V00000X 42051 MN
Maternal & Fetal Medicine Physician 207VM0101X 35071890 OH
Maternal & Fetal Medicine Physician 207VM0101X 53060 AZ
Gynecologic Oncology Physician 207VX0201X 35071890 OH Primary

Addresses

Primary practice location

1 Perkins SQ
Akron, OH 44308-1063

Mailing address

1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310

Other practice location 1

3533 Southern Blvd Ste 3750
Kettering, OH 45429-1268
Phone (937) 610-3220

Other identifiers 10

IdentifierTypeStateIssuer
0094056MedicaidOH
123745OtherU CARE
2116603OtherFIRST HEALTH PLAN
0712622OtherMEDICA HEALTH PLANS
1021488OtherPREFERRED ONE
HP29389OtherHEALTH PARTNERS
277278MedicaidAZ
287818600OtherMEDICAL ASSISTANCE
71D48REOtherBLUE CROSS BLUE SHIELD
854750OtherARAZ GRP AMERICA'S PPO

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address jregan98400@direct.chmca.org
Direct Messaging Address jregan98400@direct.chmca.org
Direct Messaging Address jregan527886@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

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
I20131210001244 OH Practitioner - Obstetrics/Gynecology 8628125663 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Minnesota Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

2350 Miami Valley Dr
Suite 410
Centerville, OH 45459-4778
Phone (937) 424-9800

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35071890OHMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center of Akron CurrentSince Oct 14, 2019 Accepting new patients
Children'S Hospital Medical Center of Akron Current Accepting new patients
Summa Physicians LLC Obstetrics & Gynecology Current Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Oct 14, 2019 Accepting new patients
Summa Physicians LLC CurrentSince Sep 21, 2019 Accepting new patients
Premier Health Specialists Inc CurrentSince Sep 27, 2024 Accepting new patients
Akron Children'S Hospital Current Accepting new patients
Summa Physicians LLC CurrentSince Sep 21, 2019 Accepting new patients
Premier Health Specialists Inc Family Medicine CurrentSince Sep 27, 2024 Accepting new patients
Kettering Independent Medical Group Inc Family Medicine CurrentSince Dec 29, 2022 Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients
Summa Health System Past Accepting new patients
Miami Valley Hospital Past Accepting new patients

Locations

75 Arch St
Ste 102
Akron, OH 44304
Phone (330) 543-2090

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

2350 Miami Valley Dr
Ste 410
Centerville, OH 45459
Phone (937) 281-2370

1 Wyoming St
Bldg Grnd
Dayton, OH 45409

2350 Miami Valley Dr
Ste 430
Dayton, OH 45459
Phone (937) 228-5115

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

3533 Southern Blvd
Ste 3750
Kettering, OH 45429
Phone (937) 395-9542

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

900 S Dixie Dr
Ste 20
Vandalia, OH 45377
Phone (937) 387-0930

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Interoperability endpoints

  • Direct secure messaging: jregan29049@summahealth-direct.org

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 and National Provider Directory roles.

View all 13

Hospital & facility affiliations 1

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1528059482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL STE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115",
            "telephone_number": "937-762-1310",
            "fax_number": "937-522-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-543-4500",
            "fax_number": "330-543-4508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3533 Southern Blvd Ste 3750",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291268",
            "country_code": "US",
            "telephone_number": "937-610-3220",
            "fax_number": "937-610-3225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGAN",
        "first_name": "JODI",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "32721",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "18609",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "42051",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OH",
            "license": "35071890",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AZ",
            "license": "53060",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "OH",
            "license": "35071890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094056",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE",
            "identifier": "123745",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH PLAN",
            "identifier": "2116603",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA HEALTH PLANS",
            "identifier": "0712622",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1021488",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP29389",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277278",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "287818600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "71D48RE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ GRP AMERICA'S PPO",
            "identifier": "854750",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jregan98400@direct.chmca.org",
            "affiliation": "N",
            "address_1": "1 Perkins Sq",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443081063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jregan98400@direct.chmca.org",
            "affiliation": "N",
            "address_1": "1 Perkins Sq",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443081063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jregan527886@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "3533 Southern Blvd Ste 3750",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454291268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "3533 Southern Blvd Ste 3750",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454291268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.