Active NPI
Aneta J Homer, MD
- Internal Medicine Physician
- Boardman, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.092671
- Practice address
- 7000 South Ave Ste 2
Boardman, OH 44512-3644 - Phone
- (330) 314-9140
- Fax
- (330) 259-9721
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.092671 | OH | Primary |
Addresses
Primary practice location
7000 South Ave Ste 2
Boardman, OH 44512-3644
Mailing address
7000 South Ave Ste 2
Boardman, OH 44512-3644
Phone (330) 314-9140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0105995 | Medicaid | OH |
Other names 1
- Dr. Aneta Jedrzejczyk
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
- Internal Medicine
- Education
- University of Cincinnati College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 Debartolo PL
Youngstown, OH 44512-6026
7629 Market St
Youngstown, OH 44512-6051
901 Trailwood Dr
Youngstown, OH 44512-5008
Phone (330) 726-3000
Hospital & facility affiliations
- Patriot Homecare, Inc
- Akeso Home Health Care Inc
- Hospice of the Valley, Inc
- Akeso Home Hospice Inc
- Surgical Hospital at Southwoods
- HMHP St Elizabeth Boardman Health Center
- MH St Elizabeth Youngstown Hospital
- Shepherd of the Valley-Boardman
- Shepherd of the Valley Poland
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 71.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.092671 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triad Health Services, LLC | Internal Medicine | Current | Accepting new patients |
| The Surgery Center at Southwoods, LLC | Past | Accepting new patients | |
| Southwoods Health at Home, LLC | Past | Accepting new patients | |
| Shepherd of the Valley Lutheran Retirement Services, Inc. | Past | Accepting new patients | |
| Shepherd of the Valley Lutheran Retirement Services, Inc. | Past | Accepting new patients |
Locations
100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828
7000 South Ave
Ste 2
Youngstown, OH 44512
Phone (330) 726-3456
901 Trailwood Dr
Youngstown, OH 44512
Phone (330) 726-3000
7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480
7629 Market St
Ste 200
Youngstown, OH 44512
Phone (330) 729-8000
250 Debartolo Pl
Ste 1200
Youngstown, OH 44512
Phone (234) 287-6440
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 and National Provider Directory roles.
-
- Plastic Surgery Physician
- Youngstown, OH
- NPI 1588925457
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Youngstown, OH
- NPI 1093808529
-
- Skilled Nursing Facility
- Poland, OH
- NPI 1447797022
-
- Home Health Agency
- Youngstown, OH
- NPI 1023788940
-
- Special Hospital
- Youngstown, OH
- NPI 1740398890
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Canfield, OH
- NPI 1821357617
-
- Community Based Hospice Care Agency
- Canfield, OH
- NPI 1386136737
-
- Community Based Hospice Care Agency
- Girard, OH
- NPI 1053139915
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1790868982
-
- Home Health Agency
- Girard, OH
- NPI 1598061418
-
- Durable Medical Equipment & Medical Supplies
- Youngstown, OH
- NPI 1093808529
Nursing home
-
- Skilled Nursing Facility
- Poland, OH
- NPI 1447797022
Nursing home
-
- Special Hospital
- Youngstown, OH
- NPI 1740398890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1659570448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 SOUTH AVE STE 2",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445123644",
"telephone_number": "330-314-9140",
"fax_number": "330-259-9721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 SOUTH AVE STE 2",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445123644",
"telephone_number": "330-314-9140",
"fax_number": "330-259-9721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMER",
"first_name": "ANETA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2021-07-07",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.092671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0105995",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANETA",
"last_name": "JEDRZEJCZYK",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.