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JTDM FAMILY PRACTICE LLC
NPI 1184652539
Family Medicine in St Marys, OH

Active since June 28, 2006
200 SAINT CLAIR AVE, ST MARYS, OH 45885(419) 394-3335(419) 394-8485 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2024, Jan 6, 2021, Dec 1, 2020 and 3 more (6 updates tracked since 2017).

About Jtdm Family Practice Llc NPPES

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

JTDM FAMILY PRACTICE LLC (NPI 1184652539) is a healthcare organization registered as a family medicine in St Marys, Ohio and active in the NPI registry since June 2006. The organization lists Tricia A Pohl, Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1184652539
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJTDM FAMILY PRACTICE LLC
Location Address200 SAINT CLAIR AVESt Marys, OH 45885-2400
Mailing Address200 Saint Clair AveSt Marys, OH 45885-2400 · (419) 394-3335 · Fax (419) 394-8485
Phone(419) 394-3335
Fax(419) 394-8485
Organization SubpartNo
Authorized OfficialTricia A PohlVice President Of Finance · (419) 394-3335
Enumeration DateJune 28, 2006
Last NPPES UpdateFebruary 6, 20246 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
✔ NPI 1184652539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
200 SAINT CLAIR AVE, St Marys, OH 45885
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Jtdm Family Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

59

Medicare enrollment records show 59 clinicians reassign Medicare billing to Jtdm Family Practice LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Nurse Practitioner18
Obstetrics/Gynecology13
Family Practice7
Urology5
General Surgery4
Certified Nurse Midwife (CNM)3
Internal Medicine2
Colorectal Surgery (Proctology)1
6 other specialties6

Nearest to this location (20)

See all 59
Amanda Perry, AG-ACNP
Nurse Practitioner
NPI 1265116610
200 SAINT CLAIR AVE STE 101
Saint Marys, OH 45885
(419) 394-9522
✔ PECOS✔ Accepts MedicareSame address
Lindsey Moeller, MS, AGACNP-BC
Nurse Practitioner
NPI 1912317231
800 W MAIN ST
Coldwater, OH 45828
(419) 678-5115
✔ PECOS✔ Accepts Medicare8.6 mi
Kevin Dirksen, APRN-CNP
Nurse Practitioner
NPI 1053891168
830 W MAIN ST
Coldwater, OH 45828
(419) 678-8446
✔ PECOS✔ Accepts Medicare9.6 mi
James Kemmler, MD
Physical Medicine and Rehabilitation
NPI 1245223635
123 HAMILTON ST
Celina, OH 45822
(419) 586-5760
✔ PECOS✔ Accepts Medicare15 mi
Suri Ambalavanan, MD
Otolaryngology
NPI 1922061910
801 PRO DR STE D4 VANAN ENT & SINUS CENTER
Celina, OH 45822
(419) 586-6480
✔ PECOS✔ Accepts Medicare15 mi
Kathryn Bruns, CNP
Nurse Practitioner
NPI 1467810077
801 PRO DR STE D1
Celina, OH 45822
(419) 586-6489
✔ PECOS✔ Accepts Medicare15 mi
Heather Ott, NP-C
Nurse Practitioner
NPI 1558974451
801 PRO DR STE D4
Celina, OH 45822
(419) 586-6480
✔ PECOS✔ Accepts Medicare15 mi
James Reichert, D.O.
General Surgery
NPI 1659543403
801 PRO DR STE D2
Celina, OH 45822
(419) 586-6480
✔ PECOS✔ Accepts Medicare15 mi
John Sharma, MD, MSC, MBA, FAAFP
Family Practice
NPI 1114131778
801 PRO DR STE D1
Celina, OH 45822
(419) 586-6489
✔ PECOS✔ Accepts Medicare15 mi
James Schwieterman, MD
Family Practice
NPI 1184611394
8381 STATE ROUTE 119
Maria Stein, OH 45860
(419) 925-4613
✔ PECOS✔ Accepts Medicare16 mi
Christopher Stucke, DPM
Podiatry
NPI 1386090843
1013 E SPRING ST
Saint Marys, OH 45885
(419) 394-8664
✔ PECOS✔ Accepts Medicare23 mi
Kenneth Bryant, DO
General Surgery
NPI 1821007949
1140 S KNOXVILLE AVE STE C
Saint Marys, OH 45885
(419) 394-9595
✔ PECOS✔ Accepts Medicare23 mi
Whitney Clark, CNM
Certified Nurse Midwife (CNM)
NPI 1033605431
1140 S KNOXVILLE AVE STE B
Saint Marys, OH 45885
(419) 394-7314
✔ PECOS✔ Accepts Medicare23 mi
Kenneth Fox, MD
Emergency Medicine
NPI 1588600167
1140 S KNOXVILLE AVE STE A
Saint Marys, OH 45885
(419) 394-9959
✔ PECOS✔ Accepts Medicare23 mi
Bridget Heckler, CNM
Certified Nurse Midwife (CNM)
NPI 1497780233
1140 S KNOXVILLE AVE STE B
Saint Marys, OH 45885
(419) 394-7314
✔ PECOS✔ Accepts Medicare23 mi
Michael Josey, M.D.
General Practice
NPI 1407866262
1140 S KNOXVILLE AVE STE A
Saint Marys, OH 45885
(419) 394-9959
✔ PECOS✔ Accepts Medicare23 mi
Polly Train, MD
Obstetrics/Gynecology
NPI 1659492916
1140 S KNOXVILLE AVE STE B
Saint Marys, OH 45885
(419) 394-7314
✔ PECOS✔ Accepts Medicare23 mi
Natasha Alexander, D.O.
Neurology
NPI 1366744914
200 SAINT CLAIR AVE GRAND LAKE NEUROLOGICAL CENTER
Saint Marys, OH 45885
(419) 394-9522
✔ PECOS✔ Accepts Medicare23 mi
James Bembry, MD
Obstetrics/Gynecology
NPI 1962468165
820 CENTRAL AVE
Greenville, OH 45331
(937) 548-5365
✔ PECOS✔ Accepts Medicare24 mi
Padmaja Chalasani, M.D.
Internal Medicine
NPI 1023113693
GRAND LAKE PRIMARY CARE AT ST MARYS 1140 S KNOXVILLE AVE STE A
Saint Marys, OH 45885
(419) 394-9959
✔ PECOS✔ Accepts Medicare24 mi
See all 59 clinicians

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 Jtdm Family Practice LLC's NPI number?

The NPI number for Jtdm Family Practice LLC is 1184652539. It was assigned to this organization in the NPPES registry on June 28, 2006.

Where is Jtdm Family Practice LLC located?

Jtdm Family Practice LLC is located at 200 Saint Clair Ave, St Marys, OH 45885. The listed phone number is (419) 394-3335.

What is Jtdm Family Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jtdm Family Practice LLC enrolled in Medicare?

Yes. Jtdm Family Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jtdm Family Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 59 clinicians in 14 Medicare specialties reassign their Medicare billing to Jtdm Family Practice LLC. 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. The largest specialties are Nurse Practitioner (18), Obstetrics/Gynecology (13) and Family Practice (7). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jtdm Family Practice LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Jtdm Family Practice LLC 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 Jtdm Family Practice LLC was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.