NPIMap

Individual provider Active NPI

Dominic Angelo Rizzo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Blue Ash, OH
National Provider Identifier
1043283047
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36003227R Issued in OH
Practice address
4260 Glendale Milford Rd Ste 103
Blue Ash, OH 45242-3752
Phone
(513) 769-4408
Fax
(513) 769-4578
NPI assigned
Feb 9, 2006
Last updated
Mar 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36003227R OH Primary

Addresses

Primary practice location

4260 Glendale Milford Rd Ste 103
Blue Ash, OH 45242-3752

Mailing address

PO Box 322
Batavia, OH 45103-0322
Phone (513) 474-1906

Other identifiers 3

IdentifierTypeStateIssuer
000000256186OtherOHANTHEM
P00030052OtherOHRR MEDICARE
2217925MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100608000206 OH Practitioner - Podiatry 4587794250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-2246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as group
Quality
85.28
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue117
Removal of skin lesions1-10
Removal of nail tissue69
Removal or shaving of skin growth33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003227ROHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Family Practice Center CurrentSince Jul 1, 2024 Accepting new patients
Cary Copeland DPM Inc Foot & Ankle Surgery CurrentSince Jan 1, 2003 Accepting new patients
Cary Copeland DPM Inc Foot & Ankle Surgery CurrentSince Jan 1, 2003 Accepting new patients
Trihealth H LLC Foot & Ankle Surgery CurrentSince Oct 2, 2021 Accepting new patients
Cary Copeland DPM Inc Foot & Ankle Surgery Past Accepting new patients

Locations

4260 Glendale Milford Rd
Blue Ash, OH 45242
Phone (513) 563-6883

4260 Glendale Milford Rd
Ste 103
Blue Ash, OH 45242
Phone (513) 769-4408

4260 Glendale Milford Rd
Ste 103A
Blue Ash, OH 45242
Phone (513) 238-3099

10677 McSwain Dr
Cincinnati, OH 45241
Phone (513) 769-4408

1775 W Lexington
Ste 100
Cincinnati, OH 45212
Phone (513) 531-6720

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

4010 N Bend Rd
Ste 201
Cincinnati, OH 45211
Phone (513) 451-5709

4360 Cooper Rd
Cincinnati, OH 45242
Phone (513) 379-4029

4360 Cooper Rd
Ste 301
Cincinnati, OH 45242
Phone (513) 745-9993

3731 S Dixie Hwy
Middletown, OH 45005
Phone (513) 423-0672

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

Interoperability endpoints

  • Direct secure messaging: drizzo@usfas.emadirect.md

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1043283047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451030322",
            "telephone_number": "513-474-1906",
            "fax_number": "513-474-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 GLENDALE MILFORD RD STE 103",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452423752",
            "telephone_number": "513-769-4408",
            "fax_number": "513-769-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZO",
        "first_name": "DOMINIC",
        "middle_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003227R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000256186",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00030052",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2217925",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.