Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jill K. Peysha

Individual provider Surgery Physician · NPI 1295155786

Jill K. Peysha is a General Surgery in Willoughby, Ohio. Qualified in 2014, 12 years ago. Practices with University Primary Care Practices Inc, a 1,073-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
12
Licensed in
VA
In the registry since
2014

Practice location Address checks out

5105 Som Center Rd #107
Willoughby, OH 44094
Phone: (440) 953-5712
Fax: (440) 953-5713
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1250 E. Marshall St, Richmond, VA 23298 — (804) 828-7391

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 0101269063 (VA)

Record details

NPI number1295155786
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 23, 2014
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice University Primary Care Practices Inc — 1073 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Willoughby