NPIMap

Individual provider Active NPI

Gregory Colangelo, M.D.

  • Pulmonary Disease Physician
  • Fairfield, OH
National Provider Identifier
1083674220
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35054089 Issued in OH
Practice address
3000 Mack Rd
Suite 120
Fairfield, OH 45014-5335
Phone
(513) 682-6975
Fax
(513) 682-6976
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 35054089 OH Primary

Addresses

Primary practice location

3000 Mack Rd
Suite 120
Fairfield, OH 45014-5335

Mailing address

3000 Mack Rd
Suite 120
Fairfield, OH 45014-5335
Phone (513) 682-6975

Other identifiers 1

IdentifierTypeStateIssuer
0669012MedicaidOH

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
I20090302000002 OH Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3678475399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Cincinnati College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Cincinnati Specialty Care LLCGroup PAC ID 3971907759, 343 clinicians

Practice addresses (Care Compare)

3000 Mack Rd
Suite 120
Fairfield, OH 45014-5335
Phone (513) 682-6975

Hospital & facility affiliations

  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Mercy Health Kings Mills Hospital LLC Hospital, Mason, OH, CCN 360374

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC Pulmonary Disease CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Pulmonary Disease CurrentSince Jan 1, 2009 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Jan 1, 2009 Accepting new patients
Hamilton Ancillary Services Pulmonary Disease Past Accepting new patients
Johnson-St. Paris Emergency Medical Service Past Accepting new patients
Herzig Krall Medical Group Inc. Pulmonary Disease Past Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

5150 Sandy Ln
Fairfield, OH 45014
Phone (513) 645-1125

3000 Mack Rd
Ste 120
Fairfield, OH 45014
Phone (513) 682-6975

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Interoperability endpoints

  • Direct secure messaging: gcolangelo1692@direct.bsmhealth.org

Organizations & group practices 7

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 4

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1083674220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MACK RD",
            "address_2": "SUITE 120",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145335",
            "telephone_number": "513-682-6975",
            "fax_number": "513-682-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MACK RD",
            "address_2": "SUITE 120",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145335",
            "telephone_number": "513-682-6975",
            "fax_number": "513-682-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLANGELO",
        "first_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35054089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0669012",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.