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NOVUS HEALTH AND WELLNESS
NPI 1124259536
Internal Medicine - Geriatric Medicine in Canton, OH

Active since August 03, 2009
4808 MUNSON ST NW, CANTON, OH 44718(330) 830-8666(330) 832-3499 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2024, May 22, 2018, Sep 2, 2016 (3 updates tracked since 2016).

About Novus Health And Wellness NPPES

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

NOVUS HEALTH AND WELLNESS (NPI 1124259536) is a healthcare organization registered as a geriatric medicine in Canton, Ohio and active in the NPI registry since August 2009. The organization lists Jyothi Dyavanapalli Gudla, President, as its authorized official.

NPPES Registry Identity

NPI1124259536
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameNEOGERIATRICS
Location Address4808 MUNSON ST NWCanton, OH 44718
Mailing Address4808 Munson St NwCanton, OH 44718-3613 · (330) 830-8666 · Fax (330) 832-3499
Phone(330) 830-8666
Fax(330) 832-3499
Organization SubpartNo
Authorized OfficialJyothi Dyavanapalli GudlaPresident · (330) 830-8666
Enumeration DateAugust 3, 2009
Last NPPES UpdateNovember 19, 20243 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1124259536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in OH · 35-083145
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
4808 MUNSON ST NW, Canton, OH 44718
Open in Google Maps ↗

Other Names 1

Doing Business AsNovus Health And Wellness

Other Identifiers 1

Medicaid2940956OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Novus Health And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Novus Health And Wellness, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Jyothi Gudla, M.D
Internal Medicine
NPI 1194872713
4808 MUNSON ST NW
Canton, OH 44718
(330) 622-0207
✔ PECOS✔ Accepts MedicareSame address
Susan Keter
Nurse Practitioner
NPI 1598647067
4808 MUNSON ST NW
Canton, OH 44718
(330) 830-8666
✔ PECOS✔ Accepts MedicareSame address
Amber Grassman, RN/BSN
Nurse Practitioner
NPI 1629643242
13984 LAKE COURT DR
Dalton, OH 44618
(330) 749-2044
✔ PECOS✔ Accepts Medicare16 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 Neogeriatrics's NPI number?

The NPI number for Neogeriatrics is 1124259536. It was assigned to this organization in the NPPES registry on August 3, 2009. The provider is doing business as Novus Health And Wellness.

Where is Neogeriatrics located?

Neogeriatrics is located at 4808 Munson St NW, Canton, OH 44718. The listed phone number is (330) 830-8666.

What is Neogeriatrics's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Neogeriatrics enrolled in Medicare?

Yes. Neogeriatrics is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Neogeriatrics?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Neogeriatrics, 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Neogeriatrics accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Neogeriatrics 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 Neogeriatrics was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.