Individual provider Active NPI

Mallory Martini

  • Physician Assistant
  • Hamilton, OH
National Provider Identifier
1093583155
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.008814RX Issued in OH
Practice address
903 NW Washington Blvd Ste a
Hamilton, OH 45013-6367
Phone
(513) 454-1111
Fax
(513) 737-1592
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.008814RX OH Primary

Addresses

Primary practice location

903 NW Washington Blvd Ste a
Hamilton, OH 45013-6367

Mailing address

PO Box 837
Hamilton, OH 45012-0837
Phone (513) 820-0432

Other names 1

  • Mallory Caproni Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240701003032 OH Practitioner - Physician Assistant 6002350063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10 N Locust St
Suite a
Oxford, OH 45056-1192
Phone (513) 454-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Butler County Community Health Consortium Inc CurrentSince Dec 29, 2025 Accepting new patients
Butler County Community Health Consortium, Inc. CurrentSince Dec 29, 2025 Accepting new patients
Butler County Community Health Consortium, Inc. Past Accepting new patients

Locations

903 NW Washington Blvd
Ste A
Hamilton, OH 45013
Phone (513) 737-6900

210 S 2nd St
Hamilton, OH 45011
Phone (513) 892-1888

10 N Locust St
Ste A
Oxford, OH 45056
Phone 5134541111 ext. 41111

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1093583155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450120837",
            "telephone_number": "513-820-0432",
            "fax_number": "513-737-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 NW WASHINGTON BLVD STE A",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450136367",
            "telephone_number": "513-454-1111",
            "fax_number": "513-737-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINI",
        "first_name": "MALLORY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008814RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "CAPRONI",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.