Active NPI
Costanzo Aldo Diperna, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 35.150394
- Practice address
- 4750 E Galbraith Rd Ste 215
Cincinnati, OH 45236-6706 - Phone
- (513) 421-3494
- Fax
- (513) 345-2606
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 35.150394 | OH | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | A70764 | CA | |
| Surgery Physician | 208600000X | MD00043132 | WA | |
| Surgery Physician | 208600000X | A70764 | CA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD00043132 | WA |
Addresses
Primary practice location
4750 E Galbraith Rd Ste 215
Cincinnati, OH 45236-6706
Mailing address
4750 E Galbraith Rd Ste 215
Cincinnati, OH 45236-6706
Phone (513) 421-3494
Other practice location 1
6555 Coyle Ave
Carmichael, CA 95608-0302
Phone (916) 536-3665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8470841 | Medicaid | WA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4750 E Galbraith Rd
Suite 210
Cincinnati, OH 45236-6705
Phone (513) 686-4830
Hospital & facility affiliations
- The Jewish Hospital-Mercy Health
- Mercy Health-Anderson Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70764 | CA | MD | Pharmacist |
| A70764 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Cincinnati Specialty Care LLC | Surgery | Current | Accepting new patients |
| Mercy Health Physicians Cincinnati Specialty Care LLC | Current | Accepting new patients | |
| Jewish Hospital LLC | Past | Accepting new patients |
Locations
4750 E Galbraith Rd
Ste 210
Cincinnati, OH 45236
Phone (513) 215-8825
1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000
4750 E Galbraith Rd
Ste 215
Cincinnati, OH 45236
Phone (513) 891-5610
201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100
Interoperability endpoints
- cdiperna2618408@direct.bsmhealth.org
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.
-
- Surgery Physician
- Blue Ash, OH
- NPI 1154942795
-
- Durable Medical Equipment & Medical Supplies
- Liberty TWP, OH
- NPI 1730993270
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1336478163
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1336478163
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1235239211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1063436731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 E GALBRAITH RD STE 215",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452366706",
"telephone_number": "513-421-3494",
"fax_number": "513-345-2606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 E GALBRAITH RD STE 215",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452366706",
"telephone_number": "513-421-3494",
"fax_number": "513-345-2606"
}
],
"practiceLocations": [
{
"address_1": "6555 Coyle Ave",
"address_purpose": "LOCATION",
"city": "Carmichael",
"state": "CA",
"postal_code": "956080302",
"country_code": "US",
"telephone_number": "916-536-3665",
"fax_number": "916-536-2480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIPERNA",
"first_name": "COSTANZO",
"middle_name": "ALDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "OH",
"license": "35.150394",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "A70764",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00043132",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A70764",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "WA",
"license": "MD00043132",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8470841",
"state": "WA"
}
],
"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 May 16, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.