Individual provider Active NPI

Pearl J Compaan, MD

  • Radiation Oncology Physician
  • Cincinnati, OH
National Provider Identifier
1063469211
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35032205 Issued in OH
Practice address
4415 Aicholtz Rd Ste 400B
Cincinnati, OH 45245-1506
Phone
(513) 752-8100
Fax
(512) 752-8103
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 35032205 OH Primary

Addresses

Primary practice location

4415 Aicholtz Rd Ste 400B
Cincinnati, OH 45245-1506

Mailing address

PO Box 10050
Manhattan Beach, CA 90267-7550
Phone (310) 335-4056

Other identifiers 1

IdentifierTypeStateIssuer
1287685MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35032205OHMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
Precision Radiotherapy, LLC Radiation Oncology Past Accepting new patients
Middletown Cancer Center Radiation Oncology Past Accepting new patients
Oncology Partners Network LTD Radiation Oncology Past Accepting new patients

Organizations & group practices 4

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1063469211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10050",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902677550",
            "telephone_number": "310-335-4056",
            "fax_number": "310-335-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 AICHOLTZ RD STE 400B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451506",
            "telephone_number": "513-752-8100",
            "fax_number": "512-752-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPAAN",
        "first_name": "PEARL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35032205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1287685",
            "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 Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.