NPIMap

Individual provider Active NPI

Amador S Delamerced Jr., MD

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1083612410
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35065064 Issued in OH
Practice address
5885 Harrison Ave Ste 2500
Cincinnati, OH 45248-1726
Phone
(513) 347-2300
Fax
(513) 451-2135
NPI assigned
Jul 11, 2005
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35065064 OH Primary

Addresses

Primary practice location

5885 Harrison Ave Ste 2500
Cincinnati, OH 45248-1726

Mailing address

5885 Harrison Ave Ste 2500
Cincinnati, OH 45248-1726
Phone (513) 347-2300

Other identifiers 1

IdentifierTypeStateIssuer
0929660MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adelamerced11343@direct.thechristhospital.com Direct

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
I20050922000234 OH Practitioner - Internal Medicine 0345274049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

5885 Harrison Ave
Cincinnati, OH 45248-1691
Phone (513) 347-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35065064OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Internal Medicine CurrentSince Nov 25, 2010 Accepting new patients
Tri State Health Systems Past Accepting new patients

Locations

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

5885 Harrison Ave
Cincinnati, OH 45248
Phone (513) 206-1800

5885 Harrison Ave
Ste 2500
Cincinnati, OH 45248
Phone (513) 347-2300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1083612410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 HARRISON AVE STE 2500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452481726",
            "telephone_number": "513-347-2300",
            "fax_number": "513-451-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 HARRISON AVE STE 2500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452481726",
            "telephone_number": "513-347-2300",
            "fax_number": "513-451-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAMERCED",
        "first_name": "AMADOR",
        "middle_name": "S",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35065064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0929660",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adelamerced11343@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5885 Harrison Ave Ste 2500",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452481726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.