NPIMap

Individual provider Active NPI

Daniel Edward Long, M.D.

  • Diagnostic Radiology Physician
  • Blue Ash, OH
National Provider Identifier
1104872399
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35072384 Issued in OH
Practice address
9825 Kenwood Rd
Suite 105
Blue Ash, OH 45242-6251
Phone
(513) 872-4500
Fax
(513) 872-4518
NPI assigned
May 26, 2006
Last updated
Jul 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35072384 OH Primary

Addresses

Primary practice location

9825 Kenwood Rd
Suite 105
Blue Ash, OH 45242-6251

Mailing address

9825 Kenwood Rd
Suite 105
Blue Ash, OH 45242-6251
Phone (513) 872-4500

Other identifiers 3

IdentifierTypeStateIssuer
200320180MedicaidIN
64035090MedicaidKY
2198885MedicaidOH

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
I20040809000061 OH Practitioner - Diagnostic Radiology 2062484363 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tristate Img (Imaging Medical Group) IncGroup PAC ID 6204732365, 45 clinicians

Practice addresses (Care Compare)

375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 865-1331

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Radiology Inc. Diagnostic Radiology CurrentSince Jul 6, 2004 Accepting new patients
RCHP-Wilmington, LLC CurrentSince Apr 12, 2022 Accepting new patients
Tristate Img (Imaging Medical Group) Inc CurrentSince Oct 1, 2024 Accepting new patients
RCHP - Wilmington LLC CurrentSince Apr 12, 2022 Accepting new patients
Riverhills Healthcare Inc Diagnostic Radiology PastSince Jan 1, 2016 Accepting new patients
Cincinnati Medical Imaging Diagnostic Radiology Past Accepting new patients

Locations

9825 Kenwood Rd
Ste 105
Blue Ash, OH 45242
Phone (513) 527-0408

2123 Auburn Ave
Ste 231
Cincinnati, OH 45219
Phone (513) 333-2580

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

4760 E Galbraith Rd
Ste 109
Cincinnati, OH 45236
Phone (513) 686-3047

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

8154 Montgomery Rd
Ste 102
Cincinnati, OH 45236
Phone (513) 686-8000

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

31 Farquhar Ave
Wilmington, OH 45177
Phone (937) 283-2273

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1104872399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 KENWOOD RD",
            "address_2": "SUITE 105",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426251",
            "telephone_number": "513-872-4500",
            "fax_number": "513-872-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 KENWOOD RD",
            "address_2": "SUITE 105",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426251",
            "telephone_number": "513-872-4500",
            "fax_number": "513-872-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "DANIEL",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35072384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200320180",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64035090",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2198885",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.