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Deactivated NPI 1497378681 Deactivated / Inactive NPI Female Practitioner

Dr. Jayati Pal , MD

Pediatrics • Cincinnati, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jayati Pal has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 21, 2020
NPI Deactivation Date January 18, 2022
Total Practice Duration ~2 Years of Practice (2020 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jayati Pal, MD was a registered Pediatrics practicing in Cincinnati, OH. Throughout an active medical career spanning 2 years, Dr. Pal provided care at the practice location at 4627 AICHOLTZ RD until profile deactivation on 2022-01-18.

Practice Location & Contact Primary Location

Practice Address

4627 Aicholtz Rd

Cincinnati, OH 452441447

Telephone 5137532820
Associated Practice Facility / Clinic
🏢 Healthsource Of Ohio, Inc. Facility NPI 1316994072

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Cincinnati, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
538 Specialists

Practicing in Cincinnati, OH (3057 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-04
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0196866 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
NPI 1033114772

Doctor of Medicine (M.D.)

NPI 1063467090

Doctor of Medicine (M.D.)

NPI 1093919052

Doctor of Osteopathic Medicine (D.O.)

NPI 1154595973

Doctor of Medicine (M.D.)

NPI 1184630931

Doctor of Medicine (M.D.)

NPI 1295629640

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location August 04, 2026

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

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Updated Business Mailing Address August 04, 2026

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

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

Pediatrics (License #35.156758 in OH)

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Updated Practice Location July 11, 2023

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

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Updated Business Mailing Address July 11, 2023

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

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

Pediatrics (License #67396 in TN)

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Updated Practice Location September 07, 2022

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

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Updated Business Mailing Address September 07, 2022

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

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Provider Name / Credentials Updated September 07, 2022

Recorded as JAYATI PAL, MD

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

Student in an Organized Health Care Education/Training Program

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NPI Profile Deactivated January 18, 2022

Record deactivated on January 18, 2022

NPI Profile Active May 21, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2020

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

📍
Updated Business Mailing Address May 21, 2020

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

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Provider Name / Credentials Updated May 21, 2020

Recorded as JAYATI PAL, M.D.

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

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration May 21, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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
Deactivation Date: January 18, 2022
Sole Proprietor: No

Mailing Address

424 Wards Corner Rd Ste 200

Loveland, OH 451406966

Phone: 5137074048

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.