Individual provider Active NPI

Orson Jude Austin, M.D.

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1053395855
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-059335 Issued in OH
Practice address
11590 Century Blvd
Cincinnati, OH 45246-3326
Phone
(513) 648-9077
Fax
(513) 648-9554
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-059335 OH Primary

Addresses

Primary practice location

11590 Century Blvd
Cincinnati, OH 45246-3326

Mailing address

PO Box 636256 Central Credentialing
Cincinnati, OH 45263-6256
Phone (513) 585-5501

Other identifiers 1

IdentifierTypeStateIssuer
0824282MedicaidOH

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
I20070212000164 OH Practitioner - Family Practice 2062414659 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-059335OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC Family Medicine CurrentSince Nov 1, 2002 Accepting new patients
University Family Physicians, Inc. Family Medicine Past Accepting new patients
University Family Physicians, Inc. Family Medicine Past Accepting new patients

Locations

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335

1295 Kemper Meadow Dr
Cincinnati, OH 45240
Phone (513) 648-9077

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

6350 E Galbraith Rd
#1179
Cincinnati, OH 45236
Phone (513) 357-8300

11590 Century Blvd
Springdale, OH 45246
Phone (513) 648-9077

7700 University Dr
Ste 3100
West Chester, OH 45069
Phone (513) 475-8264

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Crossroad Health Center WestCincinnati, OH, CCN 361029 Federally qualified health center Corporate Director Jul 20, 2010
Rothenberg Prearatory Academy SBHCCincinnati, OH, CCN 361089 Federally qualified health center Corporate Director Jun 1, 2001

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1053395855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256 CENTRAL CREDENTIALING",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-585-5501",
            "fax_number": "513-585-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11590 CENTURY BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463326",
            "telephone_number": "513-648-9077",
            "fax_number": "513-648-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "ORSON",
        "middle_name": "JUDE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-059335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0824282",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.