Active NPI
Phillip Arthur Immesoete II, MD
- Neurological Surgery Physician
- Pickerington, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 35.090300
- Practice address
- 1509 Stonecreek Dr S
Pickerington, OH 43147-9836 - Phone
- (740) 653-2500
- Fax
- (740) 653-2552
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 35.090300 | OH | Primary |
Addresses
Primary practice location
1509 Stonecreek Dr S
Pickerington, OH 43147-9836
Mailing address
7951 Shoal Creek Blvd Ste 300
Austin, TX 78757-7582
Phone (512) 584-8404
Other practice location 1
335 Glessner Ave Fl Mob2
Mansfield, OH 44903-2269
Phone (567) 241-7700
Other practice location 2
770 W High St Ste 160
Lima, OH 45801-5900
Phone (419) 995-4960
Other practice location 3
5040 Forest Dr Ste 240
New Albany, OH 43054-8166
Phone (740) 653-2500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pimmesoete708852@direct.ohiohealth.com | OhioHealth Physician Group, Inc. |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
335 Glessner Ave
Mansfield, OH 44903-2269
Phone (419) 526-8581
770 W High St
Suite 160
Lima, OH 45801-5900
Phone (419) 996-5224
Hospital & facility affiliations
- Mercy Health St Ritas Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.04 of 100
- Quality
- 58.67
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.090300 | OH | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Lima Specialty Care LLC | Current | Accepting new patients | |
| Ohiohealth Corporation | Neurological Surgery | Current | Accepting new patients |
| Ohiohealth Corporation | Current | Accepting new patients |
Locations
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
Dept L3652
Columbus, OH 43260
830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960
770 W High St
Ste 160
Lima, OH 45801
Phone (419) 996-5224
335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320
335 Glessner Ave
Fl MOB2
Mansfield, OH 44903
Phone (567) 241-7037
1509 Stonecreek Dr S
Pickerington, OH 43147
Phone (740) 653-2500
Interoperability endpoints
- pimmesoete223221@direct.bsmhealth.org
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 and National Provider Directory roles.
-
- Surgery Physician
- Lima, OH
- NPI 1518589803
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Lima, OH
- NPI 1447276936
-
- General Acute Care Hospital
- Lima, OH
- NPI 1811939887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1609089317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7951 SHOAL CREEK BLVD STE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787577582",
"telephone_number": "512-584-8404",
"fax_number": "740-653-2552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 STONECREEK DR S",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431479836",
"telephone_number": "740-653-2500",
"fax_number": "740-653-2552"
}
],
"practiceLocations": [
{
"address_1": "335 Glessner Ave Fl Mob2",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "OH",
"postal_code": "449032269",
"country_code": "US",
"telephone_number": "567-241-7700",
"fax_number": "567-241-7719",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "770 W High St Ste 160",
"address_purpose": "LOCATION",
"city": "Lima",
"state": "OH",
"postal_code": "458015900",
"country_code": "US",
"telephone_number": "419-995-4960",
"fax_number": "419-995-4961",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5040 Forest Dr Ste 240",
"address_purpose": "LOCATION",
"city": "New Albany",
"state": "OH",
"postal_code": "430548166",
"country_code": "US",
"telephone_number": "740-653-2500",
"fax_number": "740-653-2552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IMMESOETE",
"first_name": "PHILLIP",
"middle_name": "ARTHUR",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OH",
"license": "35.090300",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pimmesoete708852@direct.ohiohealth.com",
"affiliation": "Y",
"affiliationName": "OhioHealth Physician Group, Inc.",
"address_1": "335 Glessner Ave Fl Mob2",
"city": "Mansfield",
"state": "OH",
"country_code": "US",
"postal_code": "449032269",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pickerington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.