JOHN NIRMALNATH M.D.
NPI 1225210651
Internal Medicine in Ontario, OH

Active since November 27, 2007PECOS EnrolledAccepts Medicare Assignment
73.97/100
CMS Quality Rating
2981 W 4TH ST, ONTARIO, OH 44906(419) 462-4561 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Nirmalnath M.d. NPPES

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

JOHN NIRMALNATH M.D. (NPI 1225210651) is an individual internal medicine provider in Ontario, Ohio, licensed in Ohio (3506759) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Ohiohealth Mansfield Hospital, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1225210651
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN NIRMALNATHCredential: M.D.
Location Address2981 W 4TH STOntario, OH 44906-1267
Mailing Address700 N Columbus StCrestline, OH 44827-1455 · (419) 462-4561
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateNovember 27, 2007
Last NPPES UpdateJanuary 6, 2021
NPPES CertifiedJanuary 6, 2021
NPI 1225210651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 3506759
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2981 W 4TH ST, Ontario, OH 44906

Other Identifiers 2

Medicaid0193311OH
Other000000121141OH · Anthem

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Nirmalnath M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638189475
PECOS Enrollment IDI20060425000219
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Avita Ontario

Acute Care Hospitals · Ontario, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360365
Location715 Richland MallOntario, OH 44906 · Richland County
Emergency services Birthing friendly

Galion Community Hospital

Critical Access Hospitals · Galion, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number361325
Location269 Portland Way SouthGalion, OH 44833 · Crawford County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.9
Promoting Interoperability99
Improvement Activities40
Cost39.16

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers34 claims82 services$6.75 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers18 claims30 services$1.17 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$98.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Rural Health)
2981 W 4TH ST
ONTARIO, OH 44906
Family Medicine
2981 W 4TH ST
ONTARIO, OH 44906
Physician Assistant
2981 W 4TH ST
ONTARIO, OH 44906
Internal Medicine
2981 W 4TH ST
MANSFIELD, OH 44906

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 John Nirmalnath's NPI number?

The NPI number for John Nirmalnath is 1225210651. It was assigned to this individual provider in the NPPES registry on November 27, 2007.

Where is John Nirmalnath located?

John Nirmalnath practices at 2981 W 4th St, Ontario, OH 44906. The listed phone number is (419) 462-4561.

What is John Nirmalnath's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Nirmalnath enrolled in Medicare?

Yes. John Nirmalnath is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Nirmalnath accept?

Health plans from CareSource, Molina Healthcare and UnitedHealthcare list John Nirmalnath 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.

Is John Nirmalnath affiliated with any hospitals?

According to CMS data, John Nirmalnath is affiliated with Ohiohealth Mansfield Hospital, Avita Ontario and Galion Community Hospital.

When was this NPI record last updated?

The NPPES record for John Nirmalnath was last updated on January 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.