Active NPI
Andrew Michael Misfeldt, MD
- Pediatric Critical Care Medicine Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 2016020748
- Practice address
- 3333 Burnet Ave.
MLC 2003
Cincinnati, OH 45229 - Phone
- (513) 636-4432
- Fax
- (513) 636-3952
- NPI assigned
- Jul 6, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 2016020748 | MO | Primary |
| Pediatrics Physician | 208000000X | 2016020748 | MO | |
| Pediatric Cardiology Physician | 2080P0202X | 2016020748 | MO | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 01095190A | IN |
Addresses
Primary practice location
3333 Burnet Ave.
MLC 2003
Cincinnati, OH 45229
Mailing address
3333 Burnet Ave.
MLC 2003
Cincinnati, OH 45229
Phone (513) 636-4432
Other practice location 1
2001 W 86th St
Indianapolis, IN 46260-1902
Phone (317) 338-6815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Vanderbilt University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Pediatric Subspecialties | Pediatrics | Current | Accepting new patients |
| St Vincent Pediatric Subspecialties | Pediatrics | Current | Accepting new patients |
| Children's Hospital Medical Center | Pediatrics | Current | Accepting new patients |
| Children's Hospital Medical Center | Past | Accepting new patients |
Locations
3341 Solutions Ctr
Chicago, IL 60677
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211
3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200
3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225
3333 Burnet Ave
#2003
Cincinnati, OH 45229
Phone (513) 636-4432
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.
-
dba Cincinnati Children's Hospital Medical Center
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
-
- Pediatrics Physician
- Indianapolis, IN
- NPI 1013967736
-
- Pediatric Critical Care Medicine Physician
- Evansville, IN
- NPI 1851950224
Pediatrics
-
- Children's Hospital
- Cincinnati, OH
- NPI 1548212988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1083926125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVE.",
"address_2": "MLC 2003",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45229",
"telephone_number": "513-636-4432",
"fax_number": "513-636-3952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE.",
"address_2": "MLC 2003",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45229",
"telephone_number": "513-636-4432",
"fax_number": "513-636-3952"
}
],
"practiceLocations": [
{
"address_1": "2001 W 86th St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462601902",
"country_code": "US",
"telephone_number": "317-338-6815",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISFELDT",
"first_name": "ANDREW",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-06",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "MO",
"license": "2016020748",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2016020748",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "MO",
"license": "2016020748",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "IN",
"license": "01095190A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.