Individual provider Active NPI

Jennifer Elisabeth Mast, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Westerville, OH
National Provider Identifier
1861811242
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35.138103 Issued in OH
Practice address
300 Polaris Pkwy Ste 210
Westerville, OH 43082-7989
Phone
(614) 533-5500
Fax
(614) 533-0103
NPI assigned
Apr 14, 2014
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 35.138103 OH Primary

Addresses

Primary practice location

300 Polaris Pkwy Ste 210
Westerville, OH 43082-7989

Mailing address

PO Box 7527
Dublin, OH 43017-0727
Phone (614) 544-6155

Other practice location 1

285 E State St Ste 430
Columbus, OH 43215-4358
Phone (614) 533-5500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmast375365@direct.ohiohealth.com OhioHealth Physician Group

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
I20191219002916 OH Practitioner - Physical Medicine and Rehabilitation 3173845930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Cincinnati College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patheous Medical PLLCGroup PAC ID 8921458720, 18 clinicians

Practice addresses (Care Compare)

190 N Union St
Suite 203
Akron, OH 44304-1362
Phone (913) 359-6021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Patheous Medical PLLC CurrentSince Sep 3, 2024 Accepting new patients
Ohiohealth Corporation CurrentSince Oct 8, 2020 Accepting new patients
Ohiohealth Corporation CurrentSince Oct 8, 2020 Accepting new patients
Ohiohealth Corporation PastSince Jun 12, 2022 Accepting new patients

Locations

10551 Barkley St
Ste 400
Overland Park, KS 66212

190 N Union St
Ste 203
Akron, OH 44304
Phone (330) 923-3502

190N N Union St
Ste 203
Akron, OH 44304
Phone (330) 923-3502

285 E State St
Ste 430
Columbus, OH 43215
Phone (614) 566-9777

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

300 Polaris Pkwy
Ste 210
Westerville, OH 43082
Phone (614) 533-3162

300 Polaris Pkwy
Ste 2350
Westerville, OH 43082
Phone (614) 566-9777

Interoperability endpoints

  • Direct secure messaging: jmast375365@direct.ohiohealth.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1861811242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727",
            "telephone_number": "614-544-6155",
            "fax_number": "614-544-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 POLARIS PKWY STE 210",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827989",
            "telephone_number": "614-533-5500",
            "fax_number": "614-533-0103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 E State St Ste 430",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154358",
            "country_code": "US",
            "telephone_number": "614-533-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAST",
        "first_name": "JENNIFER",
        "middle_name": "ELISABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35.138103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmast375365@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "300 Polaris Pkwy",
            "address_2": "Ste 2350",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430827989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.