Brian Joseph Minnillo, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

35129278 Issued in OH

Practice address

4360 Ferguson Dr Ste 100
Cincinnati, OH 45245-1683

Phone

(513) 841-7750

Fax

(513) 841-7751

NPI assigned

Apr 13, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND, OH2 enrollments

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 2

Specialty

Urology

Education

Northeastern Ohio University College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri State Urologic Services PSC IncGroup PAC ID 6204740889, 74 clinicians

Altru Health SystemGroup PAC ID 1355251604, 675 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236
• Bethesda North Hospital, Cincinnati, OH, CCN 360179
• Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001
• The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
• Altru Hospital Hospital, Grand Forks, ND, CCN 350019

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brianminnillo@tsus.allscriptsdirect.net

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.

• Tri State Urologic Services PSC Inc

  • Urology Physician
  • Cincinnati, OH
  • NPI 1396938312
  Medicare reassignment Care Compare group NPD
• Altru Health System

  • Clinic/Center
  • Grand Forks, ND
  • NPI 1043309552
  Medicare reassignment Care Compare group NPD
• Tri State Urologic Services PSC Inc

  • Urology Physician
  • Cincinnati, OH
  • NPI 1568404846
  NPD
• Tri State Urologic Services PSC Inc

  • Urology Physician
  • Cincinnati, OH
  • NPI 1912729005
  NPD
• Altru Health System

  • Ambulance
  • Grand Forks, ND
  • NPI 1114485315
  NPD
• Altru Health System

  • General Acute Care Hospital
  • Grand Forks, ND
  • NPI 1154346161
  NPD

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

• Bethesda Hospital Inc

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1396714663
  Care Compare affiliation
• Jewish Hospital LLC

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1336478163
  Care Compare affiliation
• Mercy Health - Anderson Hospital LLC

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1235239211
  Care Compare affiliation
• Mercy Health - Clermont Hospital LLC

  • General Acute Care Hospital
  • Batavia, OH
  • NPI 1568562551
  Care Compare affiliation
• Altru Health System

  • General Acute Care Hospital
  • Grand Forks, ND
  • NPI 1154346161
  Care Compare affiliation

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1104142389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 JOSEPH E SANKER BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452121979",
            "telephone_number": "513-841-7404",
            "fax_number": "513-841-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 FERGUSON DR STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451683",
            "telephone_number": "513-841-7750",
            "fax_number": "513-841-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNILLO",
        "first_name": "BRIAN",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-13",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35129278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Mink
• Vickie Mink, R.N.,B.S.N.
• Anthony Minnick, PA-C
• Ranaujai J Minnifield
• Raynise M Minnifield, STNA
• Stephanie Minning
• Stephen J Minning, MPT
• Vicky Marie Minning, CNP
• Lali S. Minocha, D.D.S.
• Jamya Minor

• Urology Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Urology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.

Verify at the official NPI Registry.