NPIMap

Individual provider Active NPI

James Joseph Enyeart, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Girard, OH
National Provider Identifier
1811946536
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
35042993 Issued in OH
Practice address
121 E Liberty St
Girard, OH 44420-2649
Phone
(330) 545-8814
Fax
(330) 545-5008
NPI assigned
May 9, 2006
Last updated
Oct 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 35042993 OH Primary

Addresses

Primary practice location

121 E Liberty St
Girard, OH 44420-2649

Mailing address

121 E Liberty St
Girard, OH 44420
Phone (330) 545-8814

Other identifiers 1

IdentifierTypeStateIssuer
451407MedicaidOH

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
I20100423000015 OH Practitioner - Family PracticePractitioner - Geriatric Medicine 7810024189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Medical College of Ohio, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

121 E Liberty St
Girard, OH 44420-2649
Phone (330) 545-5008

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

7629 Market St
Youngstown, OH 44512-6051

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
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

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC CurrentSince Sep 1, 2021 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

121 E Liberty St
Girard, OH 44420
Phone (330) 545-5008

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

500 Gypsy Ln
Youngstown, OH 44504
Phone (330) 740-4572

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

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

Hospital & facility affiliations 5

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1811946536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E LIBERTY ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "44420",
            "telephone_number": "330-545-8814",
            "fax_number": "330-545-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E LIBERTY ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202649",
            "telephone_number": "330-545-8814",
            "fax_number": "330-545-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENYEART",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35042993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "451407",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Girard, OH

Sources for this page

Verify at the official NPI Registry.