NPIMap

Ajit Gubbi, D.O

Individual provider Active NPI Gynecologic Oncology Physician · Cincinnati, OH

NPI 1023273687 · NPPES record last updated Apr 22, 2021

Key facts

NPI
1023273687
Entity type
Individual (NPI type 1)
Primary specialty
Gynecologic Oncology Physician 207VX0201X
License
34.010162 (OH)
Practice address
601 Ivy Gtwy Ste 1100
Cincinnati, OH 45245-1898
Phone
(513) 751-2273
Fax
(513) 751-1840
NPI assigned
Jul 23, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 9

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 6

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

Medicare Care Compare profile

Specialty
Obstetrics/Gynecology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Hematology Care Inc (63 clinicians)

Practice addresses (Care Compare)

4350 Malsbary Rd
Blue Ash, OH 45242-5665
Phone (513) 891-4800

Hospital & facility affiliations

  • The Jewish Hospital-Mercy Health Hospital · Cincinnati, OH · CCN 360016
  • Mercy Health-Anderson Hospital Hospital · Cincinnati, OH · CCN 360001
  • Mercy Health - Clermont Hospital Hospital · Batavia, OH · CCN 360236
  • Mercy Health - Fairfield Hospital Hospital · Fairfield, OH · CCN 360056
  • Mercy Health - West Hospital Hospital · Cincinnati, OH · CCN 360234

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of the uterus28

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120131000927 OH Practitioner - Obstetrics/Gynecology 9234396300 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
248054NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Care, Inc. Current
since Oct 23, 2017		 Accepting new patients
Oncology Hematology Care, Inc. Current
since Oct 23, 2017		 Accepting new patients
Oncology Hematology Care Inc Obstetrics & Gynecology Current Accepting new patients
Oncology Hematology Care, Inc. Obstetrics & Gynecology Past
since Feb 9, 2020		 Accepting new patients
Oncology/ Hematology Care, Inc. Past Accepting new patients
Oncology Hematology Care Inc Gynecologic Oncology Past Accepting new patients
Jewish Hospital LLC Past Accepting new patients
Uvpc Specialists Inc. Past Accepting new patients
Oncology-Hematology Care Inc Past
since Feb 9, 2020		 Accepting new patients

Locations

4350 Malsbary Rd
Blue Ash, OH 45242
Phone (800) 710-4674

3301 Mercy Health Blvd
Ste 100
Cincinnati, OH 45211
Phone (513) 751-2145

601 Ivy Gtwy
Cincinnati, OH 45245
Phone (513) 752-8000

5053 Wooster Rd
Cincinnati, OH 45226
Phone (513) 751-2145

8000 5 Mile Rd
Ste 100
Cincinnati, OH 45230
Phone (513) 233-2300

601 Ivy Gtwy
Ste 1100
Cincinnati, OH 45245

Interoperability endpoints

  • Direct secure messaging: ajit.gubbi@ohc.ikm.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 248054 NY
Gynecologic Oncology Physician 207VX0201X 5101022136 MI
Gynecologic Oncology Physician 207VX0201X 34.010162 OH Yes

Addresses

Primary practice location

601 Ivy Gtwy Ste 1100
Cincinnati, OH 45245-1898

Mailing address

5053 Wooster Rd
Cincinnati, OH 45226-2326
Phone (513) 751-2273

Other practice location 1

280 Looney Rd
Suite 301
Piqua, OH 45356-4199
Phone (937) 773-0428

Other identifiers

IdentifierTypeStateIssuer
0064024MedicaidOH
H609180OtherOHMEDICARE

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address ajit.gubbi@ohc.ikm.direct-ci.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 22, 2021.

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1023273687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 WOOSTER RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452262326",
            "telephone_number": "513-751-2273",
            "fax_number": "513-751-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 IVY GTWY STE 1100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451898",
            "telephone_number": "513-751-2273",
            "fax_number": "513-751-1840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Looney Rd",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Piqua",
            "state": "OH",
            "postal_code": "453564199",
            "country_code": "US",
            "telephone_number": "937-773-0428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUBBI",
        "first_name": "AJIT",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "248054",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MI",
            "license": "5101022136",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "OH",
            "license": "34.010162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0064024",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H609180",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajit.gubbi@ohc.ikm.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "601 Ivy Gtwy Ste 1100",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452451898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

All providers in Cincinnati, OH · Gynecologic Oncology Physician in Ohio

Sources for this page

Verify at the official NPI Registry.