NPIMap

Individual provider Active NPI

Joseph A. Ottaviano, M.D.

  • Family Medicine Physician
  • Powell, OH
National Provider Identifier
1942368816
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35057331 Issued in OH
Practice address
264 S Liberty St
Powell, OH 43065-7616
Phone
(614) 885-7337
Fax
(614) 885-0057
NPI assigned
Dec 4, 2006
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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 35057331 OH Primary

Addresses

Primary practice location

264 S Liberty St
Powell, OH 43065-7616

Mailing address

264 S Liberty St
Powell, OH 43065-7616
Phone (614) 885-7337

Other identifiers 1

IdentifierTypeStateIssuer
0805089MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jottaviano226962@direct.ohiohealth.com OhioHealth Physician Group

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
I20120131000475 OH Practitioner - Family Practice 3577578939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
JC Edwards School of Medicine, Marshall University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

4191 Kelnor Dr
Suite 300
Grove City, OH 43123-3990
Phone (614) 544-1880

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35057331OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Ohiohealth Corporation CurrentSince Oct 1, 2017 Accepting new patients
Ohiohealth Corporation CurrentSince Oct 1, 2017 Accepting new patients
Ohiohealth Corporation Family Medicine Current Accepting new patients
Tiffin Emergency Services, LLC Past Accepting new patients
Fayette County Memorial Hospital Family Medicine Past Accepting new patients
Whiliser Drive Emergency Physicians LLC Past Accepting new patients
Midwest Emergency Services Ohio, Inc Past Accepting new patients
Mid-Ohio Emergency Services, LLC Past Accepting new patients
Adena Fayette Medical Center Past Accepting new patients
Knox Emergency Services, LLC Past Accepting new patients

Locations

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

4191 Kelnor Dr
Ste 300
Grove City, OH 43123
Phone (614) 875-3592

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

4141 N Hampton Dr
Ste 200
Powell, OH 43065
Phone (614) 764-0200

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

1100 Neal Zick Rd
Willard, OH 44890
Phone (419) 964-5000

Organizations & group practices 12

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 8

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1942368816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 S LIBERTY ST",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657616",
            "telephone_number": "614-885-7337",
            "fax_number": "614-885-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 S LIBERTY ST",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657616",
            "telephone_number": "614-885-7337",
            "fax_number": "614-885-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTAVIANO",
        "first_name": "JOSEPH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-01-05",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35057331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0805089",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jottaviano226962@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "4141 N Hampton Dr",
            "address_2": "Ste 200",
            "city": "Powell",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430657061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.