Individual provider Active NPI

Paidamoyo R Matibiri, APRN

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1114584018
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0031276 Issued in OH
Practice address
5701 Delhi Rd
Cincinnati, OH 45233-1669
Phone
(513) 244-4949
Fax
(513) 244-4594
NPI assigned
May 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3014714 KY
Nurse Practitioner 363L00000X 3014714 KY
Family Nurse Practitioner 363LF0000X 0031276 OH Primary

Addresses

Primary practice location

5701 Delhi Rd
Cincinnati, OH 45233-1669

Mailing address

5701 Delhi Rd
Cincinnati, OH 45233-1669
Phone (513) 244-4949

Other practice location 1

8200 Dixie Hwy
Florence, KY 41042-3225
Phone (859) 212-0494

Other practice location 2

130 Pavilion Pkwy
Newport, KY 41071-2998
Phone (859) 652-7203

Other practice location 3

1 W Corry St
Cincinnati, OH 45219-3932
Phone (513) 872-1530

Other practice location 4

1 Medical Village Dr # 1
Edgewood, KY 41017-3403
Phone (859) 301-2999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220629003810 OH Practitioner - Nurse Practitioner 5294115788 Reassigns benefits to 2 organizations
I20230502003284 KY Practitioner - Nurse Practitioner 5294115788 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3014714KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Jan 26, 2023 Accepting new patients
Trihealth HF LLC CurrentSince Sep 26, 2025 Accepting new patients
Trihealth HF LLC Nurse Practitioner CurrentSince Sep 26, 2025 Accepting new patients
Summit Medical Group, Inc Nurse Practitioner CurrentSince Dec 3, 2023 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Jun 15, 2022 Accepting new patients
Summit Medical Group, Inc. CurrentSince Dec 3, 2023 Accepting new patients
Summit Medical Group Inc Past Accepting new patients
Trihealth HF LLC Past Accepting new patients

Locations

405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610

1 Medical Village Dr
#1
Edgewood, KY 41017
Phone (859) 301-2999

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

8200 Dixie Hwy
Florence, KY 41042
Phone (859) 212-0494

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

130 Pavilion Pkwy
Newport, KY 41071
Phone (859) 292-5680

1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

7000 Midland Blvd
Amelia, OH 45102
Phone (513) 947-6976

1 W Corry St
Cincinnati, OH 45219
Phone (513) 475-7755

5701 Delhi Rd
Cincinnati, OH 45233
Phone (513) 244-4200

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

8700 S Mason Montgomery Rd
Mason, OH 45040
Phone (513) 977-0079

210 Sterling Run Blvd
Mount Orab, OH 45154
Phone (937) 444-5014

Interoperability endpoints

  • Direct secure messaging: paidamoyo.matibiri@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 8

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": "1558828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1114584018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 DELHI RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452331669",
            "telephone_number": "513-244-4949",
            "fax_number": "513-244-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 DELHI RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452331669",
            "telephone_number": "513-244-4949",
            "fax_number": "513-244-4594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410423225",
            "country_code": "US",
            "telephone_number": "859-212-0494",
            "fax_number": "859-282-1545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Pavilion Pkwy",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "KY",
            "postal_code": "410712998",
            "country_code": "US",
            "telephone_number": "859-652-7203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 W Corry St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452193932",
            "country_code": "US",
            "telephone_number": "513-872-1530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Village Dr # 1",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "KY",
            "postal_code": "410173403",
            "country_code": "US",
            "telephone_number": "859-301-2999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATIBIRI",
        "first_name": "PAIDAMOYO",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-26",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014714",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3014714",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0031276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.