Individual provider Active NPI

Jeffrey Craven, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Cincinnati, OH
National Provider Identifier
1104821206
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
35040954 Issued in OH
Practice address
3352 Jefferson Ave
Cincinnati, OH 45220-2132
Phone
(513) 403-4032
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 35040954 OH Primary
Emergency Medicine Physician 207P00000X 35040954C OH

Addresses

Primary practice location

3352 Jefferson Ave
Cincinnati, OH 45220-2132

Mailing address

227 Greendale Ave
Cincinnati, OH 45220-1225

Other identifiers 1

IdentifierTypeStateIssuer
0531393MedicaidOH

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
I20090420000008 OH Practitioner - Emergency MedicinePractitioner - Internal Medicine 9234286816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
University of Cincinnati College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2181 Victory Pkwy
2ND Floor
Cincinnati, OH 45206-2907

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35040954COHMDEmergency Medicine Physician
35040954OHMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Narcotic Addiction Recovery Center LLC CurrentSince Jul 1, 2022 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Apr 1, 2009 Accepting new patients
Vanguard Medical Emergency Medicine Past Accepting new patients
Deaconess Healthcare Services Co Past Accepting new patients

Locations

2181 Victory Pkwy
Fl 2
Cincinnati, OH 45206
Phone (513) 241-2123

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

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.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1104821206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 GREENDALE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452201225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3352 JEFFERSON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202132",
            "telephone_number": "513-403-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVEN",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35040954",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35040954C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0531393",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.