NPIMap

Individual provider Active NPI

Jodi Marie Oostra, M.D.

  • Surgery Physician
  • Columbus, OH
National Provider Identifier
1578908901
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35.136136 Issued in OH
Practice address
500 Thomas LN Ste 2B
Columbus, OH 43214-1419
Phone
(614) 566-2280
NPI assigned
Apr 29, 2013
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.136136 OH Primary

Addresses

Primary practice location

500 Thomas LN Ste 2B
Columbus, OH 43214-1419

Mailing address

500 Thomas LN Ste 2B
Columbus, OH 43214-1419
Phone (614) 566-2280

Other identifiers 1

IdentifierTypeStateIssuer
0357649MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joostra45603@direct.ohiohealth.com OhioHealth Physician Group

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
I20190724001811 OH Practitioner - General Surgery 7719209659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

500 Thomas LN
Columbus, OH 43214-3902
Phone (614) 566-4488

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.136136OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jun 1, 2019 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 1, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

500 Thomas Ln
Ste 2B
Columbus, OH 43214
Phone (614) 566-2280

Dept L3652
Columbus, OH 43260

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

6700 Perimeter Dr
Ste 200
Dublin, OH 43016
Phone (614) 566-0074

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1578908901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 THOMAS LN STE 2B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141419",
            "telephone_number": "614-566-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 THOMAS LN STE 2B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141419",
            "telephone_number": "614-566-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OOSTRA",
        "first_name": "JODI",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.136136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0357649",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joostra45603@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "500 Thomas Ln",
            "address_2": "Ste 2B",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432143902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.