NPIMap

Individual provider Active NPI

Jeffrey Sloane Zollett, MD

  • Family Medicine Physician
  • Middletown, OH
National Provider Identifier
1902889827
Registry record updated Nov 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.040417 Issued in OH
Practice address
200 Medical Center Dr
Suite 490
Middletown, OH 45005-5182
Phone
(513) 424-1291
Fax
(513) 424-9422
NPI assigned
Nov 23, 2005
Last updated
Nov 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2013

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 35.040417 OH Primary

Addresses

Primary practice location

200 Medical Center Dr
Suite 490
Middletown, OH 45005-5182

Mailing address

200 Medical Center Dr
Suite 490
Middletown, OH 45005-5182
Phone (513) 424-1291

Other identifiers 3

IdentifierTypeStateIssuer
0327631MedicaidOH
000000006954OtherOHANTHEM PROVIDER NUMBER
310898766OtherOHALL OTHER INSURANCE COMPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000434 OH Practitioner - Family Practice 5597852129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medicine Inpatient Group LLCGroup PAC ID 3577645340, 39 clinicians

Practice addresses (Care Compare)

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.66 of 100Reported as group
Quality
47.87
Promoting interoperability
0
Improvement activities
40
Cost
70.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.040417OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medicine Inpatient Group, LLC Family Medicine CurrentSince Dec 1, 2020 Accepting new patients
Mvhe Inc CurrentSince Mar 1, 2012 Accepting new patients
Mvhe Inc Family Medicine CurrentSince Mar 1, 2012 Accepting new patients
Upper Valley Medical Center PastSince Jan 1, 2014 Accepting new patients
Arlington Pointe Opco LLC Past Accepting new patients
Arlington Pointe Investment Group, LLC Past Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

200 Medical Center Dr
Ste 490
Middletown, OH 45005
Phone (513) 424-1291

4900 Hendrickson Rd
Middletown, OH 45044
Phone (513) 605-7000

Organizations & group practices 6

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 2

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385683200000",
    "number": "1902889827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "SUITE 490",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055182",
            "telephone_number": "513-424-1291",
            "fax_number": "513-424-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "SUITE 490",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055182",
            "telephone_number": "513-424-1291",
            "fax_number": "513-424-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLLETT",
        "first_name": "JEFFREY",
        "middle_name": "SLOANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2013-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.040417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0327631",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000006954",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER INSURANCE COMPA",
            "identifier": "310898766",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.