NPIMap

Individual provider Active NPI

Jerry W Chellini Jr., D.O.

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1740227008
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34008433 Issued in OH
Practice address
929 Jasonway Ave
Columbus, OH 43214-2464
Phone
(614) 538-2250
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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 34008433 OH Primary

Addresses

Primary practice location

929 Jasonway Ave
Columbus, OH 43214-2464

Mailing address

929 Jasonway Ave
Columbus, OH 43214-2464
Phone (614) 538-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050701000869 OH Practitioner - NephrologyPractitioner - Internal Medicine 7719923465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Nephrology Associates IncGroup PAC ID 8022058585, 22 clinicians

Practice addresses (Care Compare)

929 Jasonway Ave
Columbus, OH 43214-2330
Phone (614) 538-2250

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34008433OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vacco LLC CurrentSince Aug 2, 2017 Accepting new patients
Riverside Nephrology Associates, Inc. CurrentSince Jul 1, 2008 Accepting new patients
Capitol Medical Associates,LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Dca of Delaware County LLC Past Accepting new patients

Locations

3568 Gender Rd
Canal Winchester, OH 43110
Phone (614) 834-3564

285 E State St
Ste 260
Columbus, OH 43215
Phone (614) 566-9035

500 Thomas Ln
Ste 4A
Columbus, OH 43214
Phone (614) 538-2424

929 Jasonway Ave
Columbus, OH 43214
Phone (614) 538-2256

815 W Broad St
Ste 320
Columbus, OH 43222
Phone (614) 221-0222

1788 Columbus Pike
Delaware, OH 43015
Phone (740) 369-4870

6024 Hoover Rd
Ste F
Grove City, OH 43123
Phone (614) 539-4964

1221 Delaware Ave
Marion, OH 43302
Phone (740) 375-0849

500 London Ave
Marysville, OH 43040
Phone (740) 420-8451

1485 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 392-3436

241 W Schrock Rd
Westerville, OH 43081
Phone (614) 882-1734

Interoperability endpoints

  • Direct secure messaging: jerry.chellini.p40@direct.lifelinevascular.nextgenshare.com
  • Direct secure messaging: jchellini30137@direct.acumenmd.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jchellini216651@direct.osumc.edu
  • Direct secure messaging: jerry.chellini.p122@direct.lifelinevascular.nextgenshare.com

Organizations & group practices 6

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 7

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1740227008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 JASONWAY AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142464",
            "telephone_number": "614-538-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 JASONWAY AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142464",
            "telephone_number": "614-538-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELLINI",
        "first_name": "JERRY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34008433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.