Ketki P Mougey, MD
Individual provider Active NPI Family Medicine Physician · Hillard, OH
NPI 1871671024 · NPPES record last updated Jul 18, 2010
Key facts
- NPI
- 1871671024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35075134 (OH)
- Practice address
- 3617 Heritage Club Dr
Hillard, OH 43026 - Phone
- (614) 777-5530
- Fax
- (614) 777-6133
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
55 N High St
New Albany, OH 43054-7099
Phone (614) 627-1878
Hospital & facility affiliations
- Mount Carmel East & West
- Doctors Hospital
- James Cancer Hospital & Solove Research Institute
- Mount Carmel Dublin
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101115001086 | OH | Practitioner - Family Practice | 3375738461 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35075134 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Carmel Health Providers Inc | Family Medicine | Current |
Accepting new patients |
| Mount Carmel Healthproviders Inc | Family Medicine | Current |
Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400
5677 Scioto Darby Rd
Hilliard, OH 43026
Phone (614) 777-9804
4674 Britton Pkwy
Ste 2200
Hilliard, OH 43026
Phone (614) 210-4555
3617 Heritage Club Dr
Hilliard, OH 43026
Phone (614) 234-9777
55 N High St
New Albany, OH 43054
Phone (614) 627-1878
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35075134 | OH | Yes |
Addresses
Primary practice location
3617 Heritage Club Dr
Hillard, OH 43026
Mailing address
3617 Heritage Club Dr
Hillard, OH 43026
Phone (614) 777-5530
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2198349 | Medicaid | OH |
Other providers in Hillard, OH
- Microfuse Neuromonitoring, LLC
- Mill Run Care Center, LLC
- Sunrise ABA of Ohio, LLC
- Asher Jane Warchal
All providers in Hillard, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.