Individual provider Active NPI

Jane Ruth-Ellen Oosthuizen, DO

  • Internal Medicine Physician
  • Dayton, OH
National Provider Identifier
1598124646
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.013649 Issued in OH
Practice address
33 W Rahn Rd
Dayton, OH 45429
Phone
(937) 433-8990
Fax
(937) 433-8691
NPI assigned
Feb 17, 2016
Last updated
Sep 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 34.013649 OH Primary

Addresses

Primary practice location

33 W Rahn Rd
Dayton, OH 45429

Mailing address

33 W Rahn Rd
Dayton, OH 45429-2219
Phone (937) 433-8990

Other practice location 1

830 Washington St
Watertown, NY 13601-4034
Phone (315) 786-7300

Other practice location 2

830 Washington St
Watertown, NY 13601-4034
Phone (315) 786-7300

Other names 1

  • Jane Ruth-Ellen Eyberg Former name

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
I20191014002288 OH Practitioner - Internal Medicine 1658602180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Dayton Acute Care Consultants, IncGroup PAC ID 3577452465, 116 clinicians

Practice addresses (Care Compare)

33 W Rahn Rd
Dayton, OH 45429-2219
Phone (937) 433-8990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.82 of 100Reported as group
Quality
79.31
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Dayton Acute Care Consultants, Inc Internal Medicine CurrentSince Sep 6, 2019 Accepting new patients
Kettering Medical Center Past Accepting new patients

Locations

33 W Rahn Rd
#101
Dayton, OH 45429
Phone 9374338990102

33 W Rahn Rd
Kettering, OH 45429
Phone 9374338990 ext. 102

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

Organizations & group practices 2

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 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": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1598124646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W RAHN RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292219",
            "telephone_number": "937-433-8990",
            "fax_number": "937-433-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W RAHN RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-433-8990",
            "fax_number": "937-433-8691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Washington St",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "136014034",
            "country_code": "US",
            "telephone_number": "315-786-7300",
            "fax_number": "315-786-7310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Washington St",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "136014034",
            "country_code": "US",
            "telephone_number": "315-786-7300",
            "fax_number": "315-786-7310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OOSTHUIZEN",
        "first_name": "JANE",
        "middle_name": "RUTH-ELLEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.013649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "EYBERG",
            "middle_name": "RUTH-ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.