NPIMap

Individual provider Active NPI

Jayanth K Gutta, M.D.

  • Pulmonary Disease Physician
  • Celina, OH
National Provider Identifier
1558308957
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35087081 Issued in OH
Practice address
950 S Main St
Suite 3
Celina, OH 45822-2479
Phone
(419) 586-3017
Fax
(419) 586-3174
NPI assigned
Jun 2, 2006
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35087081 OH
Pulmonary Disease Physician 207RP1001X 35087081 OH Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 35-087081 OH

Addresses

Primary practice location

950 S Main St
Suite 3
Celina, OH 45822-2479

Mailing address

830 W Main St
Coldwater, OH 45828-1626
Phone (567) 890-7143

Other identifiers 1

IdentifierTypeStateIssuer
2631370MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051117000286 OH Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 2769460864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M E D F Physicians CorporationGroup PAC ID 9133109903, 47 clinicians

Practice addresses (Care Compare)

950 S Main St
Suite 7
Celina, OH 45822-2472
Phone (419) 586-3017

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.18 of 100Reported as group
Quality
81.05
Promoting interoperability
100
Improvement activities
40
Cost
76.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35087081OHMDCritical Care Medicine (Internal Medicine) Physician
35-087081OHMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JTDM Family Practice LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Northeast Internal Medicine Associates, PC Past Accepting new patients
Better Breating Center, LLC. Pulmonary Disease PastSince Jan 25, 2010 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jgutta812843@direct.osumc.edu

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.

Hospital & facility affiliations 2

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1558308957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W MAIN ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458281626",
            "telephone_number": "567-890-7143",
            "fax_number": "419-586-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S MAIN ST",
            "address_2": "SUITE 3",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458222479",
            "telephone_number": "419-586-3017",
            "fax_number": "419-586-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTA",
        "first_name": "JAYANTH",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35087081",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35087081",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OH",
            "license": "35-087081",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2631370",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, OH

Sources for this page

Verify at the official NPI Registry.