EASTSIDE INTERNAL MEDICINE-GERIATRICS, INC
NPI 1083684112
Clinic/Center - Multi-Specialty in Williamsburg, OH

Active since January 23, 2006
1001 W MAIN ST, WILLIAMSBURG, OH 45176(513) 724-2226(513) 724-5248 Get Directions Write a Review

NPPES record last updated: March 25, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eastside Internal Medicine-geriatrics, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTSIDE INTERNAL MEDICINE-GERIATRICS, INC (NPI 1083684112) is a healthcare organization registered as a multi-specialty in Williamsburg, Ohio and active in the NPI registry since January 2006. The organization lists Jyoti J Mehta, President, as its authorized official.

NPPES Registry Identity

NPI1083684112
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameEASTSIDE INTERNAL MEDICINE-GERIATRICS, INC
Location Address1001 W MAIN STWilliamsburg, OH 45176-1146
Mailing AddressPo Box 643113Cincinnati, OH 45264-0307 · (513) 724-2226 · Fax (513) 724-5248
Fax(513) 724-5248
Organization SubpartNo
Authorized OfficialJyoti J MehtaPresident · (513) 724-2226
Enumeration DateJanuary 23, 2006
Last NPPES UpdateMarch 25, 2010
✔ NPI 1083684112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1001 W MAIN ST, Williamsburg, OH 45176

Other Identifiers 3

Medicare PIN9311731OH
OtherDO8367OH · Rr Mcr
Medicaid3007721OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastside Internal Medicine-geriatrics, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Eastside Internal Medicine-Geriatrics, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1932170933
1001 W MAIN ST
Williamsburg, OH 45176
(513) 724-2226
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518493683
822 YOUNGS LANE
Cincinnati, OH 45245
(513) 516-1453
✔ PECOS12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastside Internal Medicine-Geriatrics, Inc's NPI number?

The NPI number for Eastside Internal Medicine-Geriatrics, Inc is 1083684112. It was assigned to this organization in the NPPES registry on January 23, 2006.

Where is Eastside Internal Medicine-Geriatrics, Inc located?

Eastside Internal Medicine-Geriatrics, Inc is located at 1001 W Main St, Williamsburg, OH 45176. The listed phone number is (513) 724-2226.

What is Eastside Internal Medicine-Geriatrics, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Eastside Internal Medicine-Geriatrics, Inc enrolled in Medicare?

Yes. Eastside Internal Medicine-Geriatrics, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastside Internal Medicine-Geriatrics, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Eastside Internal Medicine-Geriatrics, Inc, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Eastside Internal Medicine-Geriatrics, Inc accept?

Health plans from CareSource list Eastside Internal Medicine-Geriatrics, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eastside Internal Medicine-Geriatrics, Inc was last updated on March 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.