Active NPI
Janson Becker, MD
- Internal Medicine Physician
- Cincinnati, OH
National Provider Identifier
1073563136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35056087
- Practice address
- 4101 Edwards Rd FL 2
Cincinnati, OH 45209-1678 - Phone
- (513) 981-4646
- Fax
- (513) 979-2830
- NPI assigned
- May 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35056087 | OH | Primary |
Addresses
Primary practice location
4101 Edwards Rd FL 2
Cincinnati, OH 45209-1678
Mailing address
4101 Edwards Rd FL 2
Cincinnati, OH 45209-1678
Phone (513) 981-4646
Other practice location 1
4750 E Galbraith Rd
Suite 207
Cincinnati, OH 45236-6705
Phone (513) 686-4840
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07078005 | Medicaid | OH | |
| P00324380 | Other | OH | MEDICARE RR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35056087 | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1073563136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 EDWARDS RD FL 2",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452091678",
"telephone_number": "513-981-4646",
"fax_number": "513-979-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 EDWARDS RD FL 2",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452091678",
"telephone_number": "513-981-4646",
"fax_number": "513-979-2830"
}
],
"practiceLocations": [
{
"address_1": "4750 E Galbraith Rd",
"address_2": "Suite 207",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452366705",
"country_code": "US",
"telephone_number": "513-686-4840",
"fax_number": "513-686-4848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECKER",
"first_name": "JANSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35056087",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07078005",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00324380",
"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 Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.