Carl Jack Fichtenbaum, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

35-076757 Issued in OH

Practice address

200 Albert Sabin Way
# 405
Cincinnati, OH 45267-2800

Phone

(513) 584-6977

Fax

(513) 584-6040

NPI assigned

Apr 20, 2006

Last updated

Mar 27, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Infectious DiseaseAlso: Internal Medicine

Education

University of Missouri, Columbia School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Cincinnati Physicians Company LLCGroup PAC ID 2264344480, 1,474 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003

Merit-based Incentive Payment System (MIPS)

Final score

82 of 100Reported as group

Quality

65.97

Promoting interoperability

100

Improvement activities

40

Cost

74.01

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cfichtenbaum12713@direct.uchealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Cincinnati Physicians Company, LLC

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1801840434
  Medicare reassignment Care Compare group
• University Hematology Oncology Care, Inc.

  • Medical Oncology Physician
  • Cincinnati, OH
  • NPI 1720044019
  NPD (past)
• University Internal Medicine Associates, Inc.

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1588620850
  NPD (past)
• University of Cincinnati Medical Center, LLC

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1033154026
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of Cincinnati Medical Center, LLC

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1033154026
  Care Compare affiliation
• University of Cincinnati Medical Center, LLC

  dba Alliance Medical Transport Service

  • Ambulance
  • Cincinnati, OH
  • NPI 1689618423

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1073578951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 VICTORY PKWY",
            "address_2": "STE 310",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452063700",
            "telephone_number": "513-245-3444",
            "fax_number": "513-245-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ALBERT SABIN WAY",
            "address_2": "# 405",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452672800",
            "telephone_number": "513-584-6977",
            "fax_number": "513-584-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICHTENBAUM",
        "first_name": "CARL",
        "middle_name": "JACK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-076757",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35-076757",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-076757",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2147484",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64005580",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "010064796",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200252570",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Fetzer, PT
• Ariana Fey
• Kate Fey
• FHS Salem, Inc. (Residence at Salem Woods)
• Aria Elizabeth Fiat, PH.D.
• Randall J Fick, D.C. D.A.B.C.O.
• David M Ficker, MD
• Leslie Ficker
• Stephanie Ficker, DO
• Jill Fickling-Conyers, M.A., M.S.

• Infectious Disease Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Infectious Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.

Verify at the official NPI Registry.