Active NPI
Nilesh B Jobalia, M.D.
- Pain Medicine Physician
- Hamilton, OH
National Provider Identifier
1902884455
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Mar 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 35-062727
- Practice address
- 3145 Hamilton Mason Rd
Suite 201
Hamilton, OH 45011-8557 - Phone
- (513) 454-2277
- Fax
- (513) 454-2288
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35-062727 | OH | |
| Pain Medicine Physician | 208VP0000X | 35-062727 | OH | Primary |
Addresses
Primary practice location
3145 Hamilton Mason Rd
Suite 201
Hamilton, OH 45011-8557
Mailing address
PO Box 127
Hamilton, OH 45012-0001
Phone (513) 454-2277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0154292 | Medicaid | OH |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-062727 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakota Medical, LLC | Past | Accepting new patients | |
| Greater Cincinnati Pain Management | Anesthesiology | Past | Accepting new patients |
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.
-
- Pain Medicine (Anesthesiology) Physician
- Cincinnati, OH
- NPI 1619044005
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Hamilton, OH
- NPI 1730192097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1902884455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 127",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450120001",
"telephone_number": "513-454-2277",
"fax_number": "513-454-2288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3145 HAMILTON MASON RD",
"address_2": "SUITE 201",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450118557",
"telephone_number": "513-454-2277",
"fax_number": "513-454-2288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOBALIA",
"first_name": "NILESH",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35-062727",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "OH",
"license": "35-062727",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0154292",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.