NPIMap

Individual provider Active NPI

Yana Kholodenko, MD

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1124054713
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35086773 Issued in OH
Practice address
7825 Laurel Ave
Cincinnati, OH 45243-2608
Phone
(513) 561-4811
Fax
(513) 561-2730
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35086773 OH Primary

Addresses

Primary practice location

7825 Laurel Ave
Cincinnati, OH 45243-2608

Mailing address

7825 Laurel Ave
Cincinnati, OH 45243-2608
Phone (513) 561-4811

Other identifiers 1

IdentifierTypeStateIssuer
2627910MedicaidOH

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
I20051107001226 OH Practitioner - Internal Medicine 7315965407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians

Practice addresses (Care Compare)

7567 Central Parke Blvd
A
Mason, OH 45040-6852

7829 Laurel Ave
Cincinnati, OH 45243-2608
Phone (513) 936-2150

Hospital & facility affiliations

  • A-Plus Care, Inc Home health agency, Loveland, OH, CCN 368245
  • Summit Orthopaedic Home Care Home health agency, Blue Ash, OH, CCN 369119
  • American Mercy Home Care, LLC Home health agency, Cincinnati, OH, CCN 367167
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35086773OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Trihealth G, LLC CurrentSince Jul 1, 2016 Accepting new patients
Trihealth G LLC Internal Medicine Past Accepting new patients

Locations

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

7829 Laurel Ave
Cincinnati, OH 45243
Phone (513) 561-6266

2753 Erie Ave
Cincinnati, OH 45208
Phone (513) 246-8000

7825 Laurel Ave
Cincinnati, OH 45243
Phone (513) 246-8037

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

Interoperability endpoints

  • Direct secure messaging: ykholodenko33897@direct.trihealth.com

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1124054713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 LAUREL AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452432608",
            "telephone_number": "513-561-4811",
            "fax_number": "513-561-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 LAUREL AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452432608",
            "telephone_number": "513-561-4811",
            "fax_number": "513-561-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOLODENKO",
        "first_name": "YANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35086773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2627910",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.