Individual provider Active NPI

James Hideg, PT

  • Physical Therapist
  • Youngstown, OH
National Provider Identifier
1831221670
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2552 Issued in OH
Practice address
1335 Belmont Ave
Suite 100
Youngstown, OH 44504-1103
Phone
(330) 744-7525
Fax
(330) 744-0089
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2552 OH Primary

Addresses

Primary practice location

1335 Belmont Ave
Suite 100
Youngstown, OH 44504-1103

Mailing address

1335 Belmont Ave
Suite 100
Youngstown, OH 44504-1103
Phone (330) 744-7525

Other identifiers 1

IdentifierTypeStateIssuer
0170452MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230911004166 OH Practitioner - Physical Therapist in Private Practice 5294823753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

1335 Belmont Ave
Youngstown, OH 44504-1135
Phone (330) 747-2700

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

State licenses

LicenseStateTypeSpecialty
2552OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

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

1335 Belmont Ave
Youngstown, OH 44504
Phone (330) 747-2700

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

250 Debartolo Pl
Ste 1100
Youngstown, OH 44512
Phone (234) 287-6660

1335 Belmont Ave
Ste 100
Youngstown, OH 44504
Phone (330) 744-5340

Organizations & group practices 2

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1831221670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 BELMONT AVE",
            "address_2": "SUITE 100",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041103",
            "telephone_number": "330-744-7525",
            "fax_number": "330-744-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 BELMONT AVE",
            "address_2": "SUITE 100",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041103",
            "telephone_number": "330-744-7525",
            "fax_number": "330-744-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDEG",
        "first_name": "JAMES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "2552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0170452",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.