Individual provider Active NPI

Elizabeth B Maeder, D.O.

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1073701843
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.009091 Issued in OH
Practice address
2135 Dana Ave Suite 210
Cincinnati, OH 45207
Phone
(513) 351-1200
Fax
(513) 351-1580
NPI assigned
Oct 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.009091 OH Primary

Addresses

Primary practice location

2135 Dana Ave Suite 210
Cincinnati, OH 45207

Mailing address

2135 Dana Ave Suite 210
Cincinnati, OH 45207
Phone (513) 351-1200

Other identifiers 1

IdentifierTypeStateIssuer
2984221MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080129000629 OH Practitioner - Family Practice 9436231487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Madison Medical Associates IncGroup PAC ID 4082077441, 2 clinicians

Practice addresses (Care Compare)

2727 Madison Rd
Suite 202
Cincinnati, OH 45209-2276
Phone (513) 502-0171

Hospital & facility affiliations

  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001
  • University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.009091OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Medical Associates, Inc Family Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

2727 Madison Rd
Ste 202
Cincinnati, OH 45209
Phone (513) 502-0171

Interoperability endpoints

  • Direct secure messaging: elizabeth.maeder.1@29085.direct.athenahealth.com

Organizations & group practices 1

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 6

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": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1073701843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 DANA AVE SUITE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45207",
            "telephone_number": "513-351-1200",
            "fax_number": "513-351-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 DANA AVE SUITE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45207",
            "telephone_number": "513-351-1200",
            "fax_number": "513-351-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAEDER",
        "first_name": "ELIZABETH",
        "middle_name": "B",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.009091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2984221",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.