Active NPI
Sotirios Koros, D.O.
- Family Medicine Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34011943
- Practice address
- 4421 Eastgate Blvd
Suite 300
Cincinnati, OH 45245-4501 - Phone
- (513) 752-8000
- Fax
- (513) 752-1078
- NPI assigned
- Jun 18, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 34011943 | OH | Primary |
Addresses
Primary practice location
4421 Eastgate Blvd
Suite 300
Cincinnati, OH 45245-4501
Mailing address
4421 Eastgate Blvd
Suite 300
Cincinnati, OH 45245-4501
Phone (513) 752-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4421 Eastgate Blvd
Suite 300
Cincinnati, OH 45245-4501
Phone (513) 752-8000
Hospital & facility affiliations
- Mercy Health - West Hospital
- Mercy Health - Clermont Hospital
- Mercy Health-Anderson Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34011943 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Cincinnati, LLC | Family Medicine | Current | Accepting new patients |
| Mercy Health Physicians Cincinnati LLC | Current | Accepting new patients |
Locations
4421 Eastgate Blvd
Ste 300
Cincinnati, OH 45245
Phone (513) 752-8000
2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500
601 Ivy Gtwy
Ste 2100
Cincinnati, OH 45245
Phone (513) 216-1263
Networks
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- KY PPO C-SNP
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
- KY PPO
- OH PPO
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
Interoperability endpoints
- skoros195501@direct.bsmhealth.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Blue Ash, OH
- NPI 1205887023
-
- Durable Medical Equipment & Medical Supplies
- Liberty Township, OH
- NPI 1790281517
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1235239211
-
- General Acute Care Hospital
- Batavia, OH
- NPI 1568562551
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1912007931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444780800000",
"number": "1013270768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4421 EASTGATE BLVD",
"address_2": "SUITE 300",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452454501",
"telephone_number": "513-752-8000",
"fax_number": "513-752-1078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4421 EASTGATE BLVD",
"address_2": "SUITE 300",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452454501",
"telephone_number": "513-752-8000",
"fax_number": "513-752-1078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOROS",
"first_name": "SOTIRIOS",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-18",
"last_updated": "2015-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34011943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.