Individual provider Active NPI

Chryshantha S,R Joseph, MD

  • Internal Medicine Physician
  • Dublin, OH
National Provider Identifier
1891884813
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35078640J Issued in OH
Practice address
5178 Blazer Pkwy Ste B
Dublin, OH 43017-8340
Phone
(614) 599-4192
NPI assigned
Oct 11, 2006
Last updated
Oct 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35078640J OH Primary

Addresses

Primary practice location

5178 Blazer Pkwy Ste B
Dublin, OH 43017-8340

Mailing address

728 Lindridge Dr
Galloway, OH 43119-8521
Phone (614) 599-4192

Other identifiers 1

IdentifierTypeStateIssuer
35078640JOtherOHLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Chryshantha.Joseph@121369231425540.direct.elationemr.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078640JOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westland Family Care LLC PastSince Nov 13, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chryshantha.joseph@121369231425540.direct.elationemr.com
  • Direct secure messaging: chryshantha.joseph.1@15614.direct.athenahealth.com

Organizations & group practices 1

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1891884813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 LINDRIDGE DR",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431198521",
            "telephone_number": "614-599-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5178 BLAZER PKWY STE B",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430178340",
            "telephone_number": "614-599-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "CHRYSHANTHA",
        "middle_name": "S,R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35078640J",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "35078640J",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Chryshantha.Joseph@121369231425540.direct.elationemr.com",
            "affiliation": "N",
            "endpointDescription": "Elation Endpoint",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "728 Lindridge Dr",
            "city": "Galloway",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431198521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.