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

Active since January 23, 2006CLIA 36D0348140 · Waiver
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: August 09, 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 holds a CLIA Waiver certificate valid through August 31, 2026 and 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
Phone(513) 724-2226
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
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN9311731OH
OtherDO8367OH · Rr Mcr
Medicaid3007721OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0348140

Eastside Internal Med & Geriatrics Inc · Williamsburg, OH
Active · expires Aug 31, 2026
CLIA Number36D0348140
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJyoti J. Mehta
Laboratory Phone(513) 724-2226
Laboratory LocationEastside Internal Med & Geriatrics Inc1001 West Main Street, Williamsburg, OH 45176
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OHIOGIMD INC.
Specialist
1001 W MAIN ST
WILLIAMSBURG, OH 45176
Clermont County (937) 716-1226
PERSONIMED
Nurse Practitioner (Family)
1001 W MAIN ST
WILLIAMSBURG, OH 45176
Clermont County (513) 800-2188
JYOTI J MEHTA MD
Internal Medicine
1001 W MAIN ST
WILLIAMSBURG, OH 45176
Clermont County (513) 724-2226

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.

Does Eastside Internal Medicine-Geriatrics, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0348140) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.