NPIMap

Individual provider Active NPI

Alexandra Bernice Kreiselman, M.D.

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1073969853
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11018982A Issued in IN
Practice address
705 Riley Hospital Dr
Room 5867
Indianapolis, IN 46202-5109
Phone
(317) 948-0003
NPI assigned
May 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Internal Medicine Physician 207R00000X 11018982A IN Primary

Addresses

Primary practice location

705 Riley Hospital Dr
Room 5867
Indianapolis, IN 46202-5109

Mailing address

820 Laurel St
Indianapolis, IN 46203-1209
Phone (614) 565-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200722003176 OH Practitioner - Internal Medicine 7618262056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians

Practice addresses (Care Compare)

2001 Anderson Ferry Rd
Cincinnati, OH 45238-3325
Phone (513) 246-7000

6949 Good Samaritan Dr
FL 2
Cincinnati, OH 45247-5204
Phone (513) 931-2400

6949 Good Samaritan Dr
Suite 220
Cincinnati, OH 45247-5205
Phone (513) 246-8900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11018982AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Internal Medicine CurrentSince Aug 3, 2020 Accepting new patients
Trihealth G, LLC CurrentSince Aug 3, 2020 Accepting new patients
University Pediatric Associates, Inc. Past Accepting new patients
Trihealth G LLC Internal Medicine Past Accepting new patients

Locations

6949 Good Samaritan Dr
Cincinnati, OH 45247
Phone (513) 246-9800

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

Interoperability endpoints

  • Direct secure messaging: akreiselman134372@direct.trihealth.com

Organizations & group practices 4

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 10

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1073969853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 LAUREL ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031209",
            "telephone_number": "614-565-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DR",
            "address_2": "ROOM 5867",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025109",
            "telephone_number": "317-948-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREISELMAN",
        "first_name": "ALEXANDRA",
        "middle_name": "BERNICE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "11018982A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.