NPIMap

Individual provider Active NPI

Brian Revis, MD

  • Nephrology Physician
  • Cincinnati, OH
National Provider Identifier
1023219052
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35.093306 Issued in OH
Practice address
2123 Auburn Ave
Ste 404
Cincinnati, OH 45219-2906
Phone
(513) 241-5630
Fax
(513) 241-7146
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35.093306 OH Primary

Addresses

Primary practice location

2123 Auburn Ave
Ste 404
Cincinnati, OH 45219-2906

Mailing address

4600 Montgomery Rd
Ste 105
Cincinnati, OH 45212-2697
Phone (513) 487-5305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, IN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090713000445 OH Practitioner - NephrologyPractitioner - Internal Medicine 4284786807 Reassigns benefits to 3 organizations
I20120719000113 KY Practitioner - Nephrology 4284786807 Reassigns benefits to 1 organization
I20130604000925 IN Practitioner - Nephrology 4284786807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Cincinnati College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney and Hypertension Center IncGroup PAC ID 9830099985, 47 clinicians

Practice addresses (Care Compare)

2123 Auburn Ave
Suite 404
Cincinnati, OH 45219-2906
Phone (513) 241-5630

721 Rudolph Way
Lawrenceburg Dialysis
Greendale, IN 47025-8378
Phone (812) 537-4240

830 Thomas More Pkwy
Suite 202
Edgewood, KY 41017-5103
Phone (859) 341-6281

Hospital & facility affiliations

  • DaVita Norwood Dialysis Dialysis facility, Cincinnati, OH, CCN 362742
  • Trilogy Dialysis - Triple Creek Dialysis facility, Cincinnati, OH, CCN 722505
  • DaVita Montgomery Home Training Dialysis Dialysis facility, Cincinnati, OH, CCN 362634
  • Concerto Ohio Dialysis facility, South Euclid, OH, CCN 362897
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.093306OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Center Inc Nephrology CurrentSince Jul 30, 2012 Accepting new patients
Dialysis Access Center of Cincinnati, Inc. CurrentSince Mar 29, 2018 Accepting new patients
Dialysis Access Center of Cincinnati, Inc. CurrentSince Mar 29, 2018 Accepting new patients
Tristate Arthritis & Rheumatology PSC Past Accepting new patients

Locations

721 Rudolph Way
Greendale, IN 47025
Phone (812) 537-4240

7370 Turfway Rd
Ste 290
Florence, KY 41042
Phone (330) 637-0348

830 Thomas More Pkwy
Ste 202
Ft Mitchell, KY 41017
Phone (606) 341-6281

3301 Mercy Health Blvd
Ste 365
Cincinnati, OH 45211
Phone (513) 758-1170

4805 Montgomery Rd
Ste 156
Cincinnati, OH 45212
Phone (513) 861-0800

4600 Montgomery Rd
Ste 105
Cincinnati, OH 45212
Phone (513) 487-5305

2123 Auburn Ave
Ste 404
Cincinnati, OH 45219
Phone (513) 241-5630

3219 Clifton Ave
Ste 325
Cincinnati, OH 45220
Phone (513) 861-0800

11135 Montgomery Rd
Cincinnati, OH 45249
Phone (513) 793-2220

7335 Yankee Rd
Ste 102
Liberty Township, OH 45044

7335 Yankee Rd
Ste 101
Liberty Township, OH 45044
Phone (513) 755-2524

4805 Montgomery Rd
Ste 140
Norwood, OH 45212
Phone (513) 487-5305

Interoperability endpoints

  • Direct secure messaging: brian.revis.p127@direct.lifelinevascular.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: brevis134555@direct-prd.stelizabeth.com
  • Direct secure messaging: brian.revis.p2@direct.lifelinevascular.nextgenshare.com
  • Direct secure messaging: brianrevis@tkhc.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1023219052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD",
            "address_2": "STE 105",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122697",
            "telephone_number": "513-487-5305",
            "fax_number": "513-487-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "STE 404",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-241-5630",
            "fax_number": "513-241-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVIS",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35.093306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.