Individual provider Active NPI

Jyothi Puram, M.D.

  • Internal Medicine Physician
  • Springfield, OH
National Provider Identifier
1699879189
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
64595 Issued in OH
Practice address
1730 E High St
Springfield, OH 45505-1208
Phone
(937) 325-5583
Fax
(937) 325-8113
NPI assigned
Sep 12, 2006
Last updated
Sep 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 64595 OH Primary

Addresses

Primary practice location

1730 E High St
Springfield, OH 45505-1208

Mailing address

1730 E High St
Springfield, OH 45505-1208
Phone (937) 325-5583

Other identifiers 1

IdentifierTypeStateIssuer
0941753MedicaidOH

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
I20090604000327 OH Practitioner - Internal Medicine 0244380707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

4310 Clime Rd
Suite B
Columbus, OH 43228-3496
Phone (614) 627-1599

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64595OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Inc Internal Medicine Current Accepting new patients
Dedicated Columbus Ohio, LLC Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Mount Carmel Health Providers Inc CurrentSince Jul 6, 2025 Accepting new patients
Dedicated Columbus Ohio, LLC CurrentSince Oct 1, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

2260 Morse Rd
Columbus, OH 43229
Phone (305) 831-4453

4310 Clime Rd
Ste B
Columbus, OH 43228
Phone (614) 274-7799

5156 E Main St
Columbus, OH 43213
Phone (614) 702-7655

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

Interoperability endpoints

  • Direct secure messaging: jpuram4449018@direct.trinity-health.org

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

Hospital & facility affiliations 2

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1699879189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 E HIGH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051208",
            "telephone_number": "937-325-5583",
            "fax_number": "937-325-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 E HIGH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051208",
            "telephone_number": "937-325-5583",
            "fax_number": "937-325-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURAM",
        "first_name": "JYOTHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "64595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0941753",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.