Individual provider Active NPI

William A Nitardy, MD

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1083829923
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.142798 Issued in OH
Practice address
3120 Burnet Ave
Cincinnati, OH 45229-3091
Phone
(513) 584-8600
Fax
(513) 584-8619
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24030 WV
Pediatrics Physician 208000000X 24030 WV
Pediatrics Physician 208000000X 35.142798 OH
Internal Medicine Physician 207R00000X 35.142798 OH Primary

Addresses

Primary practice location

3120 Burnet Ave
Cincinnati, OH 45229-3091

Mailing address

2830 Victory Parkway
Payor Enrollment
Cincinnati, OH 45206-1785
Phone (513) 585-5507

Other identifiers 1

IdentifierTypeStateIssuer
3810017885MedicaidWV

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
I20210810003593 OH Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8921130188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3120 Burnet Ave
Suite 406
Cincinnati, OH 45229-3022
Phone (513) 584-8600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC Internal Medicine CurrentSince Aug 2, 2021 Accepting new patients

Locations

3120 Burnet Ave
Cincinnati, OH 45229
Phone (513) 584-8600

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3120 Burnet Ave
Ste 406
Cincinnati, OH 45229
Phone (513) 558-7700

2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335

Interoperability endpoints

  • Direct secure messaging: wnitardy387701@direct.uchealth.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 3

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1083829923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 VICTORY PARKWAY",
            "address_2": "PAYOR ENROLLMENT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061785",
            "telephone_number": "513-585-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293091",
            "telephone_number": "513-584-8600",
            "fax_number": "513-584-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITARDY",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2021-08-17",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "24030",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "24030",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.142798",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.142798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810017885",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.