Jeremy Jaehwan Oh, D.O.

Key facts

NPI

1962863399

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

DO2627 (NV)

Practice address

620 Shadow LN
Las Vegas, NV 89106-4119

Phone

(702) 388-8436

NPI assigned

Mar 12, 2016

Sex

Male

Sole proprietor

Yes

Organizations & group practices 5

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.

• Shah Anuj MD PC Interventional Cardiology Physician · Passaic, NJ · NPI 1215445127
  Medicare reassignment Care Compare group NPD MULTI-SPECIALTY · NJ
• Platinum Hospitalists LLP Hospitalist Physician · Henderson, NV · NPI 1861627242
  Medicare reassignment NPD MULTI-SPECIALTY · NV
• Platinum Hospitalists LLP Internal Medicine Physician · Henderson, NV · NPI 1437948726
  NPD MULTI-SPECIALTY
• Bergenline Foot Care LLC Podiatrist · Union City, NJ · NPI 1316377211
  NPD (past) MULTI-SPECIALTY
• Immediate Care P.C. Family Medicine Physician · Jersey City, NJ · NPI 1134105620
  NPD (past) MULTI-SPECIALTY

Hospital & facility affiliations 6

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

• Hudson Hospital Opco LLC General Acute Care Hospital · Jersey City, NJ · NPI 1871859306
  Care Compare affiliation Hospital
• Humc Opco LLC General Acute Care Hospital · Hoboken, NJ · NPI 1043475668
  Care Compare affiliation Hospital
• Jersey City Medical Center General Acute Care Hospital · Jersey City, NJ · NPI 1689744856
  Care Compare affiliation Hospital
• Jersey City Medical Center Ambulance · Jersey City, NJ · NPI 1871738021
  Care Compare affiliation Hospital
• Njmhmc, LLC General Acute Care Hospital · Secaucus, NJ · NPI 1710491253
  Care Compare affiliation Hospital
• Prime Healthcare Services - St. Mary'S Passaic LLC General Acute Care Hospital · Passaic, NJ · NPI 1770901761
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Interventional Cardiology
Also: Cardiovascular Disease (Cardiology)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shah Anuj MD PC (29 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carepoint Health-Hoboken University Medical Center Hospital · Hoboken, NJ · CCN 310040
• Hudson Regional Hospital Hospital · Secaucus, NJ · CCN 310118
• St Mary'S General Hospital Hospital · Passaic, NJ · CCN 310006
• Jersey City Medical Center Hospital · Jersey City, NJ · CCN 310074
• Heights University Hospital Hospital · Jersey City, NJ · CCN 310016

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in NV, NJ

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joh1135835@ahs.direct-ci.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 1, 2020.

{
    "created_epoch": "1457740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1962863399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE # A-955",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522982",
            "telephone_number": "702-407-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SHADOW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064119",
            "telephone_number": "702-388-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "JEREMY",
        "middle_name": "JAEHWAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-12",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO2627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

• Ian Alec Ogurek, D.O./MPH
• Eric Kemakolam Ogwo
• Chin Hui Oh-Ciernick, APRN
• Christina Oh
• Derek Jinseok Oh, DO
• John Oh, M.D.
• Michael Oh, DMD
• Regi Oh
• Robin Oh
• Shannon Oh

All providers in Las Vegas, NV · Internal Medicine Physician in Nevada