Individual provider Active NPI

Ketki P Mougey, MD

  • Family Medicine Physician
  • Hillard, OH
National Provider Identifier
1871671024
Registry record updated Jul 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35075134 Issued in OH
Practice address
3617 Heritage Club Dr
Hillard, OH 43026
Phone
(614) 777-5530
Fax
(614) 777-6133
NPI assigned
Nov 2, 2006
Last updated
Jul 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35075134 OH Primary

Addresses

Primary practice location

3617 Heritage Club Dr
Hillard, OH 43026

Mailing address

3617 Heritage Club Dr
Hillard, OH 43026
Phone (614) 777-5530

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
I20101115001086 OH Practitioner - Family Practice 3375738461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

55 N High St
New Albany, OH 43054-7099
Phone (614) 627-1878

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35075134OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Inc Family Medicine CurrentSince Nov 1, 2010 Accepting new patients
Mount Carmel Health Providers Inc Family Medicine CurrentSince Nov 1, 2010 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

3617 Heritage Club Dr
Hilliard, OH 43026
Phone (614) 234-9777

4674 Britton Pkwy
Ste 2200
Hilliard, OH 43026
Phone (614) 210-4555

5677 Scioto Darby Rd
Hilliard, OH 43026
Phone (614) 777-9804

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

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279411200000",
    "number": "1871671024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 HERITAGE CLUB DR",
            "city": "HILLARD",
            "state": "OH",
            "postal_code": "43026",
            "telephone_number": "614-777-5530",
            "fax_number": "614-777-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 HERITAGE CLUB DR",
            "city": "HILLARD",
            "state": "OH",
            "postal_code": "43026",
            "telephone_number": "614-777-5530",
            "fax_number": "614-777-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUGEY",
        "first_name": "KETKI",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35075134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillard, OH

Sources for this page

Verify at the official NPI Registry.