Individual provider Active NPI

Korey Michael Haddox

  • Interventional Cardiology Physician
  • Cincinnati, OH
National Provider Identifier
1053754838
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
34.012227 Issued in OH
Practice address
2123 Auburn Ave Ste 136
Cincinnati, OH 45219-2906
Phone
(513) 206-1060
Fax
(513) 206-1062
NPI assigned
Apr 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34.012227 OH
Cardiovascular Disease Physician 207RC0000X 5151013681 MI
Hospitalist Physician 208M00000X 34.012227 OH
Interventional Cardiology Physician 207RI0011X 34.012227 OH Primary

Addresses

Primary practice location

2123 Auburn Ave Ste 136
Cincinnati, OH 45219-2906

Mailing address

2139 Auburn Ave # 47
Cincinnati, OH 45219-2989
Phone (513) 263-9402

Other practice location 1

375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 862-3452

Other practice location 2

375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 862-3452

Other practice location 3

7502 State Rd Ste 2210A
Cincinnati, OH 45255-2596
Phone (513) 624-2070

Other practice location 4

3601 W 13 Mile Rd
Royal Oak, MI 48073
Phone (482) 898-4198

Other practice location 5

11140 Montgomery Rd Ste 1300
Cincinnati, OH 45249-2309
Phone (513) 792-7800

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
I20200813002414 OH Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1850533431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Cardiovascular Associates LLCGroup PAC ID 1658449715, 151 clinicians

Practice addresses (Care Compare)

2123 Auburn Ave
Suite 136
Cincinnati, OH 45219-2906
Phone (513) 721-8881

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5151013681MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati LLC CurrentSince Aug 30, 2020 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC Cardiovascular Disease CurrentSince Sep 1, 2021 Accepting new patients
The Christ Hospital Cardiovascular Associates LLC Cardiovascular Disease CurrentSince Apr 1, 2025 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Internal Medicine CurrentSince Aug 30, 2020 Accepting new patients
Christ Hospital Cardiology Assoc Cardiovascular Disease Past Accepting new patients

Locations

7502 State Rd
Ste 2210A
Cincinnati, OH 45255
Phone (513) 624-2070

7502 State Rd
Ste 2210
Cincinnati, OH 45255
Phone (513) 624-2070

2123 Auburn Ave
Ste 136
Cincinnati, OH 45219
Phone (513) 206-1060

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

2139 Auburn Ave
#47
Cincinnati, OH 45219

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

11140 Montgomery Rd
Ste 1300
Montgomery, OH 45249

Organizations & group practices 6

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 4

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": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1053754838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 AUBURN AVE # 47",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192989",
            "telephone_number": "513-263-9402",
            "fax_number": "513-564-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE STE 136",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-206-1060",
            "fax_number": "513-206-1062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Dixmyth Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452202475",
            "country_code": "US",
            "telephone_number": "513-862-3452",
            "fax_number": "513-862-3421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 Dixmyth Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452202475",
            "country_code": "US",
            "telephone_number": "513-862-3452",
            "fax_number": "513-862-3421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7502 State Rd Ste 2210A",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452552596",
            "country_code": "US",
            "telephone_number": "513-624-2070",
            "fax_number": "513-624-2077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "48073",
            "country_code": "US",
            "telephone_number": "482-898-4198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11140 Montgomery Rd Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452492309",
            "country_code": "US",
            "telephone_number": "513-792-7800",
            "fax_number": "513-792-7807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADDOX",
        "first_name": "KOREY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.012227",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5151013681",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "34.012227",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "34.012227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.