Individual provider Active NPI

Abraham O Osinbowale, MD

  • General Practice Physician
  • Cincinnati, OH
National Provider Identifier
1043281686
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
350497260 Issued in OH
Practice address
318 E University Ave
Primary Care of Cincinnati Inc
Cincinnati, OH 45219-2431
Phone
(513) 961-1100
Fax
(513) 961-7156
NPI assigned
Jan 31, 2006
Last updated
May 22, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 350497260 OH Primary

Addresses

Primary practice location

318 E University Ave
Primary Care of Cincinnati Inc
Cincinnati, OH 45219-2431

Mailing address

318 E University Ave
Primary Care of Cincinnati Inc
Cincinnati, OH 45219-2431
Phone (513) 961-1100

Other identifiers 1

IdentifierTypeStateIssuer
0962203MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120214000431 OH Practitioner - General PracticePractitioner - Preventive MedicinePractitioner - Internal Medicine 6103083597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Internal Medicine, Preventive Medicine
Education
University College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

318 E University Ave
Cincinnati, OH 45219-2431
Phone (513) 961-1100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
350497260OHMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of Cincinnati Inc CurrentSince Apr 1, 1994 Accepting new patients

Locations

318 E University Ave
Cincinnati, OH 45219
Phone (513) 961-1100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1043281686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 E UNIVERSITY AVE",
            "address_2": "PRIMARY CARE OF CINCINNATI INC",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192431",
            "telephone_number": "513-961-1100",
            "fax_number": "513-961-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E UNIVERSITY AVE",
            "address_2": "PRIMARY CARE OF CINCINNATI INC",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192431",
            "telephone_number": "513-961-1100",
            "fax_number": "513-961-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSINBOWALE",
        "first_name": "ABRAHAM",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "350497260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0962203",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.