Jacob A Nysather, DO - Medicare Nephrology in Montgomery, OH

Jacob A Nysather, DO is a medicare enrolled "Internal Medicine - Nephrology" physician in Montgomery, Ohio. He went to Lincoln Mem Univ, Debusk Col Of Osteopathic Med and graduated in 2017 and has 7 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice University Of Cincinnati Physicians Company Llc, Children's Hospital Medical Center and his current practice location is 9275 Montgomery Rd, Montgomery, Ohio. You can reach out to his office (for appointments etc.) via phone at (513) 475-8525.

Jacob A Nysather is licensed to practice in Ohio (license number 34.015521) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407376312.

Contact Information

Jacob A Nysather, DO
9275 Montgomery Rd,
Montgomery, OH 45242-7779
(513) 475-8525
(513) 936-4511

Map and Direction




Physician's Profile

Full NameJacob A Nysather
GenderMale
SpecialityNephrology
Experience7 Years
Location9275 Montgomery Rd, Montgomery, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob A Nysather attended and graduated from Lincoln Mem Univ, Debusk Col Of Osteopathic Med in 2017
  NPI Data:
  • NPI Number: 1407376312
  • Provider Enumeration Date: 06/21/2017
  • Last Update Date: 03/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5496179608
  • Enrollment ID: I20220211001460

Medical Identifiers

Medical identifiers for Jacob A Nysather such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407376312NPI-NPPES
0462231MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 0116030769 (Virginia)Secondary
208M00000XHospitalist 34.015521 (Ohio)Secondary
207RN0300XInternal Medicine - Nephrology 34.015521 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Dci - CincinnatiCincinnati, OHDialysis facility
University Of Cincinnati Medical Center, LlcCincinnati, OHHospital
West Chester HospitalWest chester, OHHospital
Cincinnati Children's Hospital Medical CenterCincinnati, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Cincinnati Physicians Company Llc22643444801336
Children's Hospital Medical Center8426955733521

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob A Nysather allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Cincinnati Physicians Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801840434
PECOS PAC ID: 2264344480
Enrollment ID: O20031105000123
Entity NameChildren's Hospital Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609915784
PECOS PAC ID: 8426955733
Enrollment ID: O20031216000035

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob A Nysather is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob A Nysather, DO
Po Box 636256,
Cincinnati, OH 45263-6256

Ph: (513) 585-6200
Jacob A Nysather, DO
9275 Montgomery Rd,
Montgomery, OH 45242-7779

Ph: (513) 475-8525

Reviews and Comments


Internal Medicine Doctors in Montgomery, OH

Syed Shad Mahmood,
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242
Phone: 513-865-2246    Fax: 513-865-5552
Dr. Saulius K Girnius,
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 10506a Montgomery Rd, Montgomery, OH 45242
Phone: 513-853-1300    Fax: 513-451-4118
Ellis A Green, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242
Phone: 513-865-2246    Fax: 513-865-5552
John A Eckman, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 10597 Montgomery Rd Ste 200, Montgomery, OH 45242
Phone: 513-793-6861    Fax: 513-985-2743
Mohammed Ali Mohammed Al-amoodi,
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 10506 Montgomery Rd Ste 300a, Montgomery, OH 45242
Phone: 513-246-2400    Fax: 513-246-4050
Dr. Omar H Jawaid, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 10506a Montgomery Rd, Montgomery, OH 45242
Phone: 513-246-2343    Fax: 513-865-9916
Mohammad Khalouck Abdrabbo, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 10600 Montgomery Rd, Montgomery, OH 45242
Phone: 513-853-9250    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.