Active NPI
John Hergenrother, M.D.
- Nephrology Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 35-07-5061
- Practice address
- 2123 Auburn Ave
#404
Cincinnati, OH 45219-2906 - Phone
- (513) 241-5630
- Fax
- (513) 241-7146
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 35-07-5061 | OH | Primary |
| Nephrology Physician | 207RN0300X | 37649 | KY |
Addresses
Primary practice location
2123 Auburn Ave
#404
Cincinnati, OH 45219-2906
Mailing address
2123 Auburn Ave
#404
Cincinnati, OH 45219-2906
Phone (513) 241-5630
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2330203 | Medicaid | OH | |
| 64054018 | Medicaid | KY | |
| 390008623 | Other | OH | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Northeastern Ohio University College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2123 Auburn Ave
Suite 404
Cincinnati, OH 45219-2906
Phone (513) 241-5630
830 Thomas More Pkwy
Suite 202
Edgewood, KY 41017-5103
Phone (859) 341-6281
Hospital & facility affiliations
- DaVita Harrison Dialysis
- DaVita White Oak Home Training Dialysis
- DaVita Silverton Dialysis
- Christ Hospital
- Mercy Health - West Hospital
- Good Samaritan Hospital
- St Elizabeth Edgewood
- Margaret Mary Community Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37649 | KY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney and Hypertension Center Inc | Nephrology | Current | Accepting new patients |
| University of Cincinnati Physicians Company, LLC | Nephrology | Past | Accepting new patients |
Locations
721 Rudolph Way
Greendale, IN 47025
Phone (812) 537-4240
7370 Turfway Rd
Ste 290
Florence, KY 41042
Phone (330) 637-0348
830 Thomas More Pkwy
Ste 202
Ft Mitchell, KY 41017
Phone (606) 341-6281
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
2123 Auburn Ave
Ste 404
Cincinnati, OH 45219
Phone (513) 241-5630
2123 Auburn Ave
#404
Cincinnati, OH 45219
Phone (513) 241-4983
3219 Clifton Ave
Ste 325
Cincinnati, OH 45220
Phone (513) 861-0800
4600 Montgomery Rd
Ste 105
Cincinnati, OH 45212
Phone (513) 487-5305
Interoperability endpoints
- johnhergenrother@tkhc.allscriptsdirect.net
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jhergenrother25648@direct-prd.stelizabeth.com
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.
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
Nephrology
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Harrison, OH
- NPI 1972843316
Dialysis facility
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1780633289
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1912007931
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
-
- Critical Access Hospital
- Batesville, IN
- NPI 1558368449
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1073557500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2123 AUBURN AVE",
"address_2": "#404",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192906",
"telephone_number": "513-241-5630",
"fax_number": "513-241-7146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2123 AUBURN AVE",
"address_2": "#404",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192906",
"telephone_number": "513-241-5630",
"fax_number": "513-241-7146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERGENROTHER",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OH",
"license": "35-07-5061",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "KY",
"license": "37649",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2330203",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64054018",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "390008623",
"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 Nov 2, 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.
- 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.