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Dr. Jayati Pal , MD

Pediatrics β€’ Cincinnati, OH

Active NPI 1497378681 Individual Practitioner Female Practitioner
Practice location in NPPES

4627 Aicholtz Rd
Cincinnati, OH 452441447

Call 5137532820 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4627 Aicholtz Rd

Cincinnati, OH 452441447

Telephone 5137532820
Organization at the Same NPPES Address or Phone
Healthsource Of Ohio, Inc. Facility NPI 1316994072

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Pal has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Pal as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Cincinnati and Ohio

521 active clinicians are listed under Pediatrics with a practice address in Cincinnati, OH (2,972 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cincinnati

0.4% of these 521 clinicians have the CMS telehealth indicator.

12.7% of these 521 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-08-04
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OH 35.156758

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0196866 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20230620001563

Enrollment State Jurisdiction

TN

PECOS Control ID

2567820814

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1235230855

Doctor of Dental Surgery

NPI 1841859535

Doctor of Dental Surgery

Dr. Tanya Sackrider , DDS

Dentist - General Practice

NPI 1255546503

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

18 Historical Events
πŸ“
Updated Practice Location August 04, 2026

Registered at 4627 AICHOLTZ RD, CINCINNATI, OH 452441447 (Tel: 5137532820)

πŸ“
Updated Business Mailing Address August 04, 2026

Registered at 424 WARDS CORNER RD STE 200, LOVELAND, OH 451406966 (Tel: 5137074048)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2026

Pediatrics (license number reported to NPPES: OH 35.156758)

πŸ“
Updated Practice Location July 11, 2023

Registered at 51 N DUNLAP ST, MEMPHIS, TN 381054625 (Tel: 9012875674)

πŸ“
Updated Business Mailing Address July 11, 2023

Registered at 850 POPLAR AVE BLDG 2, MEMPHIS, TN 381054607 (Tel: 9012875674)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2023

Pediatrics (license number reported to NPPES: TN 67396)

πŸ”„
NPI Profile Reactivated September 07, 2022

Record officially reactivated for active practice on September 07, 2022

πŸ“
Updated Practice Location September 07, 2022

Registered at 1611 NW 12TH AVENUE, MIAMI, FL 33136 (Tel: 3055856042)

πŸ“
Updated Business Mailing Address September 07, 2022

Registered at 1611 NW 12TH AVENUE, ROOM 6006, PEDIATRICS RESIDENCY OFFICE, MIAMI, FL 33136 (Tel: 3055856042)

πŸ‘€
Provider Name / Credentials Updated September 07, 2022

Recorded as JAYATI PAL, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2022

Student in an Organized Health Care Education/Training Program

⚠️
NPI Profile Deactivated January 18, 2022

NPPES lists this NPI as deactivated as of January 18, 2022; the reason is not published.

βœ…
NPI Profile Active May 21, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 21, 2020

Registered at 1611 NW 12TH AVENUE, MIAMI, FL 33136 (Tel: 3055856042)

πŸ“
Business Mailing Address (Initial Record) May 21, 2020

Registered at 1611 NW 12TH AVENUE, ROOM 6006, PEDIATRICS RESIDENCY OFFICE, MIAMI, FL 33136 (Tel: 3055856042)

πŸ‘€
Provider Name / Credentials (Initial Record) May 21, 2020

Recorded as JAYATI PAL, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration May 21, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497378681
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2020
Last Update: August 04, 2026
Sole Proprietor: No

Other Pediatrics Specialists in Cincinnati

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Mailing Address

424 Wards Corner Rd Ste 200

Loveland, OH 451406966

Phone: 5137074048

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.