Active NPI
Kathryn Margaret Peeden, MD
- Family Medicine Physician
- Cincinnati, OH
National Provider Identifier
1053412023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35084896
- Practice address
- 8000 5 Mile Rd
Suite 210
Cincinnati, OH 45230-2163 - Phone
- (513) 624-1216
- Fax
- (513) 231-0811
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35084896 | OH | Primary |
Addresses
Primary practice location
8000 5 Mile Rd
Suite 210
Cincinnati, OH 45230-2163
Mailing address
8000 5 Mile Rd
Suite 210
Cincinnati, OH 45230-2163
Phone (513) 624-1216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2512874 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2017 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35084896 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Cincinnati Physicians Company, LLC | Family Medicine | Past | Accepting new patients |
| Alliance Institute for Integrative Medicine, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Cincinnati, OH
- NPI 1881752400
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311811200000",
"number": "1053412023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 5 MILE RD",
"address_2": "SUITE 210",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452302163",
"telephone_number": "513-624-1216",
"fax_number": "513-231-0811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 5 MILE RD",
"address_2": "SUITE 210",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452302163",
"telephone_number": "513-624-1216",
"fax_number": "513-231-0811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEEDEN",
"first_name": "KATHRYN",
"middle_name": "MARGARET",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2011-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35084896",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2512874",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.