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JARED G DORSA RD
NPI 1407613144
Dietitian, Registered in Montgomery, OH

Active since February 29, 2024
6200 PFEIFFER RD STE 360, MONTGOMERY, OH 45242(513) 862-4957(513) 862-4952 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jared G Dorsa Rd NPPES

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

JARED G DORSA RD (NPI 1407613144) is an individual dietitian, registered in Montgomery, Ohio, licensed in Ohio (LD.10480) and active in the NPI registry since February 2024. He maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1407613144
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameJARED G DORSACredential: RD
Location Address6200 PFEIFFER RD STE 360Montgomery, OH 45242-5861
Mailing Address6200 Pfeiffer Rd Ste 360Montgomery, OH 45242-5861 · (513) 862-4957 · Fax (513) 862-4952
Phone(513) 862-4957
Fax(513) 862-4952
Sole ProprietorYes
Enumeration DateFebruary 29, 2024
Last NPPES UpdateMarch 8, 2024
NPPES CertifiedMarch 8, 2024
✔ NPI 1407613144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in OH · LD.10480✔ Licensed in OH · LPD.11028
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
6200 PFEIFFER RD STE 360, Montgomery, OH 45242
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Secondary Practice Location 1

Location 13219 Clifton Ave Ste 300Cincinnati, OH 45220-3045 · Phone (513) 862-3494

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jared G Dorsa Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jared Dorsa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trihealth H LLC
1.1 mi
Infectious Disease
10495 MONTGOMERY RD
Cincinnati, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 1,102 clinicians in this Medicare group
NPI 1164860920 (513) 984-2775

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

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.

TRACEY L. CORSO ARNP
Nurse Practitioner (Psychiatric/Mental Health)
6200 PFEIFFER RD STE 360
MONTGOMERY, OH 45242
Hamilton County (513) 862-4957
HAYLEY ELIZABETH RICHARDSON
Dietitian, Registered
6200 PFEIFFER RD STE 360
MONTGOMERY, OH 45242
Hamilton County (513) 862-4957
LINDSEY MARIE SNIDER FNP-C
Nurse Practitioner (Family)
6200 PFEIFFER RD STE 360
MONTGOMERY, OH 45242
Hamilton County (513) 862-4957
LAUREN M LEE RD, LD
Dietitian, Registered
6200 PFEIFFER RD STE 360
MONTGOMERY, OH 45242
Hamilton County (513) 862-4957

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 Jared Dorsa's NPI number?

The NPI number for Jared Dorsa is 1407613144. It was assigned to this individual provider in the NPPES registry on February 29, 2024.

Where is Jared Dorsa located?

Jared Dorsa practices at 6200 Pfeiffer Rd Ste 360, Montgomery, OH 45242. The listed phone number is (513) 862-4957.

What is Jared Dorsa's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Jared Dorsa enrolled in Medicare?

Yes. Jared Dorsa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jared Dorsa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Dorsa reassigns Medicare benefits to Trihealth H LLC (Cincinnati, OH). The 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 Jared Dorsa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jared Dorsa accept?

Health plans from CareSource list Jared Dorsa 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 Jared Dorsa was last updated on March 8, 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.