NPIMap

Individual provider Active NPI

Suzanne F Matunis, MD

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1104808344
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35067437M Issued in OH
Practice address
9403 Kenwood Rd
Suite C208
Cincinnati, OH 45242-6895
Phone
(513) 891-5532
Fax
(513) 891-5323
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35067437M OH Primary

Addresses

Primary practice location

9403 Kenwood Rd
Suite C208
Cincinnati, OH 45242-6895

Mailing address

9403 Kenwood Rd
Suite C208
Cincinnati, OH 45242-6895
Phone (513) 891-5532

Other identifiers 1

IdentifierTypeStateIssuer
0985279MedicaidOH

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
I20100113000539 OH Practitioner - Family Practice 6507907508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

4700 E Galbraith Rd
Suite 105
Cincinnati, OH 45236-2754
Phone (513) 924-8860

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35067437MOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati LLC CurrentSince Dec 1, 2010 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Family Medicine CurrentSince Dec 1, 2010 Accepting new patients
Health First Physicians Family Medicine Past Accepting new patients

Locations

9403 Kenwood Rd
Ste C208
Blue Ash, OH 45242
Phone (513) 891-5532

6350 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 741-1414

4700 E Galbraith Rd
Ste 105
Cincinnati, OH 45236
Phone (513) 924-8535

4750 E Galbraith Rd
Ste 105
Cincinnati, OH 45236
Phone (513) 745-9787

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

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

Interoperability endpoints

  • Direct secure messaging: smatunis11523@direct.bsmhealth.org

Organizations & group practices 6

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 8

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1104808344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9403 KENWOOD RD",
            "address_2": "SUITE C208",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426895",
            "telephone_number": "513-891-5532",
            "fax_number": "513-891-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9403 KENWOOD RD",
            "address_2": "SUITE C208",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426895",
            "telephone_number": "513-891-5532",
            "fax_number": "513-891-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUNIS",
        "first_name": "SUZANNE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35067437M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0985279",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.