Individual provider Active NPI

Robert A Sisk, MD

  • Ophthalmology Physician
  • Cincinnati, OH
National Provider Identifier
1063614089
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.093058 Issued in OH
Practice address
1945 Cei Dr
Cincinnati, OH 45242-5664
Phone
(513) 569-3741
Fax
(513) 569-3941
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 42600 KY
Ophthalmology Physician 207W00000X 35.093058 OH Primary
Ophthalmology Physician 207W00000X ME98454 FL

Addresses

Primary practice location

1945 Cei Dr
Cincinnati, OH 45242-5664

Mailing address

1945 Cei Dr
Cincinnati, OH 45242-5664
Phone (513) 569-3741

Other identifiers 2

IdentifierTypeStateIssuer
2931402MedicaidOH
00000604645OtherANTHEM BC BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090811000240 KY Practitioner - Ophthalmology 5395839815 Reassigns benefits to 1 organization
I20090821000120 OH Practitioner - Ophthalmology 5395839815 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kentucky College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cei Physicians PSC, LLCGroup PAC ID 0749186427, shared by 6 NPIs, 155 clinicians

Practice addresses (Care Compare)

1945 Cei Dr
Blue Ash, OH 45242-5664
Phone 51398451333741

3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200

3333 Burnet Ave
Cincinnati, OH 45229-3039

580 S Loop Rd
Suite 200
Edgewood, KY 41017-3415
Phone 51398451333741

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME98454FLMDOphthalmology Physician
42600KYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Medical Center CurrentSince Sep 6, 2009 Accepting new patients
Cei Physicians PSC LLC Ophthalmology CurrentSince Jul 31, 2009 Accepting new patients
Cei Physicians PSC LLC Ophthalmology CurrentSince Jul 1, 2009 Accepting new patients
Cei Physicians PSC, LLC CurrentSince Jul 1, 2009 Accepting new patients
University of Cincinnati Physicians Company, LLC CurrentSince Nov 7, 2011 Accepting new patients
University Eye Physicians, Inc Ophthalmology Past Accepting new patients
Cei Physicians PSC LLC Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

580 S Loop Rd
Ste 200
Edgewood, KY 41017
Phone (859) 331-9000

580 S Loop Rd
Edgewood, KY 41017
Phone (859) 301-6000

9997 Carver Rd
Ste 200
Blue Ash, OH 45242

1945 Cei Dr
Blue Ash, OH 45242

70 Damon Rd
Cincinnati, OH 45218
Phone (513) 605-1000

3333 Burnet Ave
Ste ML4008
Cincinnati, OH 45229

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

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3130 Highland Ave
Cincinnati, OH 45219
Phone (513) 584-4061

Interoperability endpoints

  • Direct secure messaging: robert.sisk.p1@direct.cei.nextgenshare.com

Organizations & group practices 7

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 1

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1063614089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 CEI DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425664",
            "telephone_number": "513-569-3741",
            "fax_number": "513-569-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 CEI DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425664",
            "telephone_number": "513-569-3741",
            "fax_number": "513-569-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISK",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "42600",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.093058",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME98454",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2931402",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "00000604645",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.