NPIMap

Individual provider Active NPI

Jyoti J Mehta, MD

  • Internal Medicine Physician
  • Williamsburg, OH
National Provider Identifier
1932170933
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35052885M Issued in OH
Practice address
1001 W Main St
Williamsburg, OH 45176-1146
Phone
(513) 724-2226
Fax
(513) 724-5248
NPI assigned
Jan 28, 2006
Last updated
Jun 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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 35052885M OH Primary

Addresses

Primary practice location

1001 W Main St
Williamsburg, OH 45176-1146

Mailing address

PO Box 643113
Cincinnati, OH 45264-3113
Phone (513) 724-2226

Other identifiers 1

IdentifierTypeStateIssuer
0614473MedicaidOH

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
I20100318000929 OH Practitioner - Internal Medicine 2163456716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 W Main St
Williamsburg, OH 45176-1146
Phone (513) 724-2226

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.8 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35052885MOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Internal Medicine-Geriatrics, Inc CurrentSince Apr 1, 1986 Accepting new patients
CHS-Batavia, Inc Past Accepting new patients
Sunrise Nursing Healthcare LLC Past Accepting new patients
Gahana Opco LLC Past Accepting new patients
Mt Washington Nursing LLC Past Accepting new patients
Eastgate Health Care Center, LLC Past Accepting new patients
Mt. Washington Care Center Past Accepting new patients

Locations

1001 W Main St
Williamsburg, OH 45176
Phone (513) 724-2226

Interoperability endpoints

  • Direct secure messaging: jmehta18410@direct.bsmhealth.org

Organizations & group practices 7

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1932170933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643113",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452643113",
            "telephone_number": "513-724-2226",
            "fax_number": "513-345-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "city": "WILLIAMSBURG",
            "state": "OH",
            "postal_code": "451761146",
            "telephone_number": "513-724-2226",
            "fax_number": "513-724-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "JYOTI",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-28",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35052885M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0614473",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, OH

Sources for this page

Verify at the official NPI Registry.