Individual provider Active NPI

Deepesh Subedi

  • Nurse Practitioner
  • Chillicothe, OH
National Provider Identifier
1528761830
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
35528 Issued in OH
Practice address
879 N Bridge St
Chillicothe, OH 45601-1704
Phone
(740) 772-5050
Fax
(740) 772-5051
NPI assigned
Mar 24, 2023
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 35528 OH Primary

Addresses

Primary practice location

879 N Bridge St
Chillicothe, OH 45601-1704

Mailing address

879 N Bridge St
Chillicothe, OH 45601-1704
Phone (740) 772-5050

Other practice location 1

3539 Cleveland Ave
Columbus, OH 43224-2909
Phone (614) 826-7445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230426002884 TN Practitioner - Nurse Practitioner 2769847789 Reassigns benefits to 2 organizations
I20240501002793 OH Practitioner - Nurse Practitioner 2769847789 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince Apr 15, 2023 Accepting new patients
Ohio Urgent Care and Occupational Health LLC CurrentSince Mar 18, 2024 Accepting new patients
Iris Medical Group Nurse Practitioner CurrentSince Aug 6, 2023 Accepting new patients
Iris Medical Group Kentucky LLC PastSince Mar 17, 2024 Accepting new patients
Iris Wound Care, PC Nurse Practitioner Past Accepting new patients

Locations

3539 Cleveland Ave
Columbus, OH 43224
Phone (614) 260-5910

9019 Overlook Blvd
Ste C1B
Brentwood, TN 37027

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1528761830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 N BRIDGE ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011704",
            "telephone_number": "740-772-5050",
            "fax_number": "740-772-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 N BRIDGE ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011704",
            "telephone_number": "740-772-5050",
            "fax_number": "740-772-5051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3539 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432242909",
            "country_code": "US",
            "telephone_number": "614-826-7445",
            "fax_number": "614-826-7446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBEDI",
        "first_name": "DEEPESH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-24",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "35528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.