Individual provider Active NPI

Melanie Elizabeth Jungblut, MD

  • Pediatrics Physician
  • Celina, OH
National Provider Identifier
1639157688
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35062650J Issued in OH
Practice address
950 S Main St Ste 5
Celina, OH 45822-2467
Phone
(567) 890-7163
Fax
(567) 890-7193
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35062650J OH Primary

Addresses

Primary practice location

950 S Main St Ste 5
Celina, OH 45822-2467

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0847810MedicaidOH

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
I20170522002845 OH Practitioner - Pediatric Medicine 5799052767 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35062650JOHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M E D F Physicians Corporation Pediatrics CurrentSince Dec 6, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mercer County Joint Township Community Hospital Past Accepting new patients

Locations

950 S Main St
Ste 5
Celina, OH 45822
Phone (419) 586-6899

950 S Main St
Ste 10
Celina, OH 45822
Phone (419) 586-1118

909 E Wayne St
Ste 124
Celina, OH 45822
Phone (419) 586-1863

830 W Main St
Coldwater, OH 45828
Phone (419) 678-5271

Interoperability endpoints

  • Direct secure messaging: mjungblut514426@direct.osumc.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639157688",
    "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 STE 5",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458222467",
            "telephone_number": "567-890-7163",
            "fax_number": "567-890-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNGBLUT",
        "first_name": "MELANIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2026-07-13",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35062650J",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0847810",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, OH

Sources for this page

Verify at the official NPI Registry.